| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
348 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
202 |
$13K |
| 99205 |
Prolong outpt/office vis |
41 |
40 |
$6K |
| 90636 |
|
30 |
26 |
$3K |
| 96127 |
|
299 |
252 |
$815.42 |
| 90651 |
|
12 |
12 |
$806.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
83 |
$596.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
63 |
$582.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
29 |
$488.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$380.94 |
| 90461 |
|
31 |
27 |
$358.24 |
| 90674 |
|
13 |
12 |
$291.69 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
111 |
$258.14 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
25 |
$194.26 |
| 90686 |
|
12 |
12 |
$144.49 |
| 81002 |
|
29 |
21 |
$76.44 |
| 99173 |
|
100 |
87 |
$0.00 |