| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,940 |
4,299 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,331 |
2,086 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
443 |
400 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,381 |
1,271 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,839 |
2,556 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 90682 |
|
75 |
63 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
56 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
53 |
$825.00 |
| 90686 |
|
286 |
272 |
$648.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$364.14 |
| 80061 |
Lipid panel |
46 |
44 |
$262.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
60 |
56 |
$194.62 |
| 90656 |
|
14 |
14 |
$47.42 |
| 85018 |
|
15 |
13 |
$28.40 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 0124A |
|
13 |
12 |
$0.00 |