| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,957 |
2,790 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,925 |
3,532 |
$173K |
| T1015 |
Clinic visit/encounter, all-inclusive |
287 |
231 |
$45K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
188 |
185 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
218 |
214 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
302 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
804 |
775 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
693 |
684 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$3K |
| 99051 |
|
85 |
84 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$999.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
30 |
$634.40 |
| 0011A |
|
25 |
25 |
$552.46 |
| 81025 |
|
106 |
104 |
$535.35 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$304.98 |
| 0064A |
|
14 |
14 |
$269.39 |
| 81002 |
|
107 |
107 |
$210.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$149.34 |
| 87210 |
|
42 |
41 |
$145.20 |
| 90686 |
|
13 |
12 |
$19.26 |
| 90674 |
|
19 |
19 |
$0.90 |