| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,967 |
3,452 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
875 |
863 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
347 |
347 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
263 |
$21K |
| 93000 |
|
1,328 |
1,318 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,849 |
1,794 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
65 |
$7K |
| 96127 |
|
1,728 |
1,700 |
$5K |
| 99000 |
|
547 |
502 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
128 |
124 |
$3K |
| 90674 |
|
115 |
115 |
$3K |
| 81003 |
|
1,446 |
1,417 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| 0012A |
|
42 |
42 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
110 |
$1K |
| 0031A |
|
35 |
35 |
$1K |
| 0011A |
|
40 |
40 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
117 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
53 |
$575.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$206.18 |
| 81002 |
|
32 |
32 |
$94.14 |
| 82043 |
|
13 |
13 |
$44.23 |
| 82570 |
|
13 |
13 |
$39.68 |
| 99173 |
|
1,012 |
1,008 |
$6.00 |
| 3078F |
|
3,226 |
2,864 |
$6.00 |
| 3074F |
|
3,334 |
2,944 |
$6.00 |
| 99072 |
|
110 |
104 |
$0.00 |
| 99499 |
|
56 |
56 |
$0.00 |
| 4274F |
|
77 |
77 |
$0.00 |
| 3015F |
|
27 |
27 |
$0.00 |
| 3075F |
|
40 |
40 |
$0.00 |
| 3079F |
|
220 |
206 |
$0.00 |
| 3008F |
|
33 |
33 |
$0.00 |
| 80050 |
General health panel |
106 |
104 |
$0.00 |