| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,715 |
9,690 |
$845K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,808 |
5,095 |
$574K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
500 |
488 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
387 |
378 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
745 |
670 |
$27K |
| 90688 |
|
623 |
616 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
856 |
841 |
$8K |
| 93000 |
|
546 |
500 |
$7K |
| 99401 |
|
767 |
753 |
$5K |
| 0012A |
|
67 |
67 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,648 |
3,493 |
$2K |
| 0011A |
|
52 |
52 |
$2K |
| 0124A |
|
42 |
42 |
$2K |
| 90756 |
|
63 |
63 |
$1K |
| 3074F |
|
1,053 |
880 |
$1K |
| 90658 |
|
40 |
40 |
$753.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$624.62 |
| 1159F |
|
8,264 |
5,274 |
$605.18 |
| 0001A |
|
12 |
12 |
$460.05 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$444.18 |
| 0013A |
|
12 |
12 |
$431.56 |
| 83700 |
|
201 |
201 |
$294.50 |
| 3075F |
|
159 |
150 |
$165.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$136.40 |
| 3077F |
|
86 |
69 |
$127.50 |
| 3078F |
|
27 |
26 |
$30.00 |
| 1126F |
|
14 |
14 |
$10.00 |
| 1160F |
|
20 |
19 |
$10.00 |
| 3008F |
|
2,641 |
2,084 |
$0.23 |
| 91312 |
|
41 |
41 |
$0.20 |
| 91301 |
|
176 |
171 |
$0.06 |
| 99000 |
|
293 |
289 |
$0.00 |
| 3049F |
|
21 |
19 |
$0.00 |
| 91300 |
|
61 |
60 |
$0.00 |
| 99072 |
|
455 |
307 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$0.00 |