| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,136 |
1,561 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
267 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
110 |
$11K |
| 99401 |
|
573 |
533 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
212 |
200 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99487 |
Ccm add 20min |
104 |
97 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 86769 |
|
16 |
14 |
$674.08 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
26 |
26 |
$561.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
28 |
$302.80 |
| 90686 |
|
13 |
13 |
$252.43 |
| 96160 |
|
32 |
31 |
$81.61 |
| 36415 |
Collection of venous blood by venipuncture |
402 |
394 |
$71.10 |
| 97802 |
|
13 |
13 |
$58.66 |