| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,340 |
8,756 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,775 |
3,242 |
$23K |
| 0012A |
|
188 |
183 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
472 |
$6K |
| 90686 |
|
1,372 |
1,211 |
$4K |
| 99072 |
|
3,557 |
2,316 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
247 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
409 |
366 |
$3K |
| 0011A |
|
95 |
89 |
$2K |
| 0013A |
|
90 |
70 |
$2K |
| 0001A |
|
35 |
35 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
547 |
492 |
$1K |
| 0072A |
|
55 |
35 |
$960.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,958 |
899 |
$939.93 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
726 |
692 |
$701.45 |
| 36415 |
Collection of venous blood by venipuncture |
1,993 |
1,752 |
$646.39 |
| 0071A |
|
27 |
12 |
$400.00 |
| 99173 |
|
674 |
606 |
$199.24 |
| 90688 |
|
311 |
284 |
$187.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
23 |
13 |
$107.92 |
| 90651 |
|
50 |
50 |
$19.69 |
| 85018 |
|
240 |
198 |
$18.76 |
| 81002 |
|
14 |
12 |
$3.19 |
| 91300 |
|
47 |
44 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
12 |
$0.00 |
| 91301 |
|
400 |
362 |
$0.00 |
| 90656 |
|
58 |
56 |
$0.00 |
| 91307 |
|
153 |
98 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |