| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,699 |
1,627 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
396 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
933 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
314 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
90 |
83 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
90 |
83 |
$8K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
26 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
164 |
153 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
95 |
$2K |
| 90480 |
|
56 |
54 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 96127 |
|
28 |
28 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
70 |
54 |
$784.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$528.33 |
| 0124A |
|
12 |
12 |
$453.51 |
| 82948 |
|
26 |
26 |
$271.46 |
| 90686 |
|
79 |
40 |
$39.50 |