| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,602 |
3,360 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,549 |
2,497 |
$220K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
246 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,009 |
1,975 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$6K |
| 93000 |
|
258 |
255 |
$2K |
| 90686 |
|
66 |
66 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
102 |
$957.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$728.79 |
| 81002 |
|
349 |
341 |
$673.10 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$361.80 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$217.74 |
| 96127 |
|
13 |
13 |
$38.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$30.85 |
| 3078F |
|
1,177 |
1,134 |
$0.00 |
| 3077F |
|
174 |
168 |
$0.00 |
| 1124F |
|
106 |
105 |
$0.00 |
| 3008F |
|
3,844 |
3,691 |
$0.00 |
| 3079F |
|
351 |
346 |
$0.00 |
| 3074F |
|
1,386 |
1,323 |
$0.00 |
| 3080F |
|
223 |
218 |
$0.00 |
| 3075F |
|
170 |
165 |
$0.00 |
| 1000F |
|
43 |
43 |
$0.00 |