| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
972 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
700 |
403 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
210 |
120 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
24 |
12 |
$681.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
65 |
$533.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
20 |
$183.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$148.96 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
16 |
$68.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$7.68 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |