| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,245 |
5,306 |
$425K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,155 |
2,628 |
$140K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
532 |
473 |
$44K |
| 99215 |
Prolong outpt/office vis |
594 |
487 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
211 |
189 |
$18K |
| 90686 |
|
640 |
474 |
$10K |
| 95921 |
|
73 |
52 |
$3K |
| 90688 |
|
147 |
115 |
$3K |
| 95923 |
|
69 |
53 |
$3K |
| 93923 |
|
59 |
47 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
206 |
183 |
$3K |
| 96127 |
|
151 |
134 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
308 |
251 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,169 |
922 |
$1K |
| 90656 |
|
65 |
53 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$922.08 |
| 93040 |
|
55 |
42 |
$394.30 |
| 94761 |
|
51 |
40 |
$365.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
15 |
$353.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
311 |
194 |
$50.00 |
| 36416 |
|
14 |
13 |
$16.40 |
| 1000F |
|
17 |
17 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
360 |
291 |
$0.00 |
| 4274F |
|
149 |
111 |
$0.00 |
| 99072 |
|
21 |
16 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |