| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,980 |
4,214 |
$268K |
| 99215 |
Prolong outpt/office vis |
1,149 |
986 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
359 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
98 |
$7K |
| 99443 |
|
37 |
32 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
38 |
$997.01 |
| 96127 |
|
207 |
173 |
$653.28 |
| 90686 |
|
12 |
12 |
$162.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
21 |
$127.15 |
| 93000 |
|
12 |
12 |
$124.61 |
| 99397 |
|
13 |
13 |
$116.05 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$58.11 |
| 81002 |
|
15 |
13 |
$25.61 |
| 3078F |
|
426 |
369 |
$0.00 |
| 1159F |
|
1,511 |
1,133 |
$0.00 |
| 3077F |
|
67 |
58 |
$0.00 |
| 1160F |
|
1,807 |
1,375 |
$0.00 |
| 3008F |
|
1,627 |
1,274 |
$0.00 |
| 3074F |
|
496 |
432 |
$0.00 |
| 3075F |
|
33 |
30 |
$0.00 |
| 3080F |
|
28 |
25 |
$0.00 |
| 3079F |
|
211 |
185 |
$0.00 |