| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,205 |
4,169 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,785 |
2,197 |
$133K |
| 99199 |
Unlisted special service, procedure or report |
20,599 |
13,517 |
$119K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
90 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
37 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
28 |
$876.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
56 |
$597.50 |
| 99401 |
|
51 |
20 |
$442.60 |
| 92551 |
|
87 |
65 |
$104.26 |
| 90686 |
|
16 |
12 |
$18.09 |
| 99172 |
|
86 |
64 |
$0.00 |
| 36416 |
|
57 |
54 |
$0.00 |