| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,097 |
6,378 |
$547K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
552 |
524 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
383 |
350 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
131 |
131 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,389 |
1,327 |
$4K |
| 0011A |
|
110 |
107 |
$3K |
| 0012A |
|
87 |
82 |
$3K |
| 99457 |
|
50 |
50 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
80 |
$2K |
| 99458 |
|
56 |
50 |
$1K |
| 99490 |
Ccm add 20min |
226 |
217 |
$1K |
| 90682 |
|
38 |
29 |
$993.70 |
| 87428 |
|
12 |
12 |
$821.47 |
| 90686 |
|
51 |
45 |
$680.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
12 |
$588.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
28 |
$574.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$387.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$314.81 |
| 91301 |
|
85 |
82 |
$0.03 |
| G0008 |
Administration of influenza virus vaccine |
24 |
13 |
$0.00 |