| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,530 |
3,299 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,914 |
1,732 |
$89K |
| 36415 |
Collection of venous blood by venipuncture |
3,919 |
3,670 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
162 |
$5K |
| 99000 |
|
4,240 |
3,943 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
79 |
$2K |
| 1159F |
|
1,939 |
1,793 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
106 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
40 |
$339.75 |
| 3078F |
|
1,091 |
1,008 |
$276.61 |
| 3074F |
|
919 |
853 |
$234.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
24 |
$220.59 |
| 90686 |
|
14 |
13 |
$217.67 |
| 3075F |
|
366 |
343 |
$93.27 |
| 3079F |
|
538 |
506 |
$75.00 |
| 1126F |
|
14 |
13 |
$44.87 |
| 1111F |
|
377 |
353 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 3077F |
|
90 |
80 |
$0.00 |
| 1160F |
|
52 |
52 |
$0.00 |