| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
702 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70,149 |
45,413 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
50 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,134 |
1,084 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,992 |
13,698 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$779.71 |
| 71046 |
Radiologic examination, chest; 2 views |
2,604 |
2,385 |
$508.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$307.20 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
251 |
213 |
$56.36 |
| D0140 |
Limited oral evaluation - problem focused |
12,210 |
8,946 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$0.00 |
| 90686 |
|
71 |
69 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,740 |
1,562 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |