| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,922 |
9,548 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,864 |
3,418 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,312 |
3,860 |
$102K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
190 |
179 |
$5K |
| 90756 |
|
301 |
289 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
38 |
$2K |
| 99497 |
|
38 |
38 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
320 |
307 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$888.77 |
| 3074F |
|
207 |
196 |
$530.00 |
| 99201 |
|
17 |
16 |
$456.03 |
| 96160 |
|
38 |
38 |
$417.52 |
| 3078F |
|
138 |
128 |
$370.00 |
| 3079F |
|
111 |
104 |
$350.00 |
| 3080F |
|
100 |
93 |
$320.00 |
| 90661 |
|
15 |
14 |
$262.28 |
| 3077F |
|
46 |
41 |
$160.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$159.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$141.91 |
| 3075F |
|
39 |
38 |
$100.00 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
56 |
$82.90 |
| 99050 |
|
25 |
25 |
$61.60 |