| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,065 |
8,187 |
$681K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,722 |
3,051 |
$171K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,705 |
1,332 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,604 |
3,027 |
$12K |
| 99215 |
Prolong outpt/office vis |
82 |
68 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,412 |
1,196 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
26 |
$3K |
| 91320 |
|
83 |
36 |
$3K |
| 90686 |
|
479 |
376 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
113 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 90480 |
|
137 |
52 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
19 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
70 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$1K |
| 96127 |
|
286 |
242 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
93 |
$1K |
| 80061 |
Lipid panel |
204 |
166 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
15 |
$633.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
16 |
$467.07 |
| 90658 |
|
105 |
78 |
$448.07 |
| 90674 |
|
16 |
16 |
$413.22 |
| 90756 |
|
21 |
14 |
$249.30 |
| 99406 |
|
17 |
14 |
$240.27 |
| 0124A |
|
13 |
12 |
$221.40 |
| 0004A |
|
30 |
13 |
$197.21 |
| 3044F |
|
223 |
190 |
$160.00 |
| 81003 |
|
56 |
50 |
$98.17 |
| 81025 |
|
14 |
12 |
$97.19 |
| 3074F |
|
1,042 |
913 |
$0.00 |
| 3079F |
|
499 |
438 |
$0.00 |
| 3008F |
|
823 |
736 |
$0.00 |
| 3080F |
|
31 |
28 |
$0.00 |
| 1126F |
|
46 |
36 |
$0.00 |
| 3075F |
|
315 |
291 |
$0.00 |
| 1125F |
|
27 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| 3078F |
|
982 |
870 |
$0.00 |
| 1159F |
|
110 |
95 |
$0.00 |
| 3077F |
|
106 |
95 |
$0.00 |
| 99442 |
|
22 |
17 |
$0.00 |