| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,833 |
2,727 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,634 |
1,584 |
$113K |
| S9083 |
Global fee urgent care centers |
317 |
311 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$11K |
| 80050 |
General health panel |
256 |
256 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$5K |
| 80061 |
Lipid panel |
366 |
366 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
34 |
34 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
433 |
433 |
$4K |
| 90686 |
|
171 |
169 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
74 |
$2K |
| 96127 |
|
305 |
304 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$923.38 |
| 86803 |
|
56 |
56 |
$717.34 |
| 36415 |
Collection of venous blood by venipuncture |
451 |
444 |
$338.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$222.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
29 |
$207.62 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$168.96 |
| 96160 |
|
40 |
40 |
$73.78 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
103 |
100 |
$0.00 |
| 3078F |
|
21 |
21 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |