| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,527 |
1,431 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,723 |
1,583 |
$15K |
| 99454 |
|
310 |
310 |
$4K |
| 99457 |
|
426 |
426 |
$1K |
| 90658 |
|
58 |
58 |
$1K |
| 99458 |
|
372 |
372 |
$900.74 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
32 |
31 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
352 |
345 |
$58.08 |
| 90674 |
|
50 |
50 |
$41.72 |
| 93000 |
|
13 |
13 |
$41.51 |
| 93880 |
|
46 |
46 |
$17.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
57 |
57 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$0.00 |