| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,901 |
3,472 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,675 |
1,671 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,320 |
2,049 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
914 |
$99K |
| 99386 |
|
174 |
174 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
166 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
316 |
316 |
$17K |
| 99441 |
|
350 |
336 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$14K |
| 99385 |
|
90 |
90 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
212 |
204 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,572 |
1,501 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$6K |
| 99000 |
|
3,306 |
3,162 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
55 |
$963.99 |
| 81003 |
|
458 |
447 |
$840.93 |
| 81000 |
|
417 |
408 |
$797.43 |
| 93000 |
|
88 |
86 |
$780.59 |
| 81002 |
|
334 |
329 |
$710.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
84 |
$674.03 |
| 83013 |
|
32 |
32 |
$613.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$388.68 |
| 94728 |
|
12 |
12 |
$288.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$181.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$175.09 |
| 82947 |
|
15 |
14 |
$47.20 |
| 87430 |
|
15 |
15 |
$41.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
30 |
$27.47 |
| 81005 |
|
13 |
13 |
$13.25 |
| 90660 |
|
43 |
43 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 90461 |
|
31 |
31 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |