| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,942 |
3,469 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,088 |
2,616 |
$144K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,028 |
955 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
413 |
375 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
163 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
172 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
125 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$946.12 |
| 36415 |
Collection of venous blood by venipuncture |
1,123 |
1,048 |
$753.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
45 |
$696.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
50 |
$337.98 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
13 |
$242.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$15.50 |
| 4004F |
|
43 |
39 |
$0.00 |
| 1036F |
|
1,995 |
1,709 |
$0.00 |
| 3017F |
|
562 |
469 |
$0.00 |
| 3014F |
|
32 |
29 |
$0.00 |