| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,567 |
11,914 |
$249K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
1,912 |
$19K |
| 0011A |
|
289 |
262 |
$8K |
| 0012A |
|
182 |
181 |
$7K |
| 0013A |
|
139 |
100 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
338 |
243 |
$3K |
| 99072 |
|
4,165 |
2,796 |
$2K |
| 90686 |
|
783 |
690 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,041 |
894 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,071 |
2,708 |
$1K |
| 0001A |
|
35 |
35 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
384 |
$921.52 |
| 0072A |
|
46 |
28 |
$920.00 |
| 0071A |
|
49 |
27 |
$880.00 |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$676.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
312 |
284 |
$581.53 |
| 90688 |
|
270 |
241 |
$551.80 |
| 90682 |
|
64 |
64 |
$452.12 |
| 0134A |
|
42 |
42 |
$160.00 |
| 90656 |
|
70 |
69 |
$118.62 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$106.80 |
| G0008 |
Administration of influenza virus vaccine |
136 |
131 |
$100.00 |
| 90662 |
|
79 |
78 |
$73.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
52 |
$9.87 |
| 99173 |
|
69 |
63 |
$3.51 |
| 85018 |
|
12 |
12 |
$2.16 |
| 91301 |
|
657 |
569 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 91307 |
|
155 |
94 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |
| 91313 |
|
42 |
42 |
$0.00 |
| 91300 |
|
43 |
39 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$0.00 |