| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,963 |
6,209 |
$654K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,130 |
2,026 |
$149K |
| 96158 |
|
1,551 |
1,146 |
$88K |
| 96152 |
|
264 |
186 |
$10K |
| 96151 |
|
218 |
163 |
$10K |
| 90686 |
|
502 |
480 |
$9K |
| 96159 |
|
159 |
134 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
67 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
929 |
812 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$1K |
| 96150 |
|
15 |
14 |
$574.19 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$564.41 |
| 80050 |
General health panel |
15 |
12 |
$477.75 |
| 84439 |
|
87 |
81 |
$462.90 |
| 96127 |
|
106 |
98 |
$323.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$278.16 |
| 80061 |
Lipid panel |
30 |
26 |
$168.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
24 |
$158.60 |
| 80053 |
Comprehensive metabolic panel |
30 |
24 |
$118.24 |
| 96160 |
|
55 |
54 |
$47.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$43.52 |
| 81003 |
|
32 |
28 |
$40.30 |
| 3078F |
|
2,505 |
2,316 |
$0.00 |
| 3079F |
|
39 |
37 |
$0.00 |
| 3074F |
|
2,535 |
2,351 |
$0.00 |
| 91301 |
|
19 |
15 |
$0.00 |
| 3352F |
|
27 |
27 |
$0.00 |