| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,069 |
2,960 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,227 |
3,046 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
312 |
312 |
$6K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$992.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$843.16 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$542.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$445.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$243.46 |
| 96160 |
|
1,076 |
1,068 |
$57.89 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$37.47 |
| 90686 |
|
43 |
43 |
$0.00 |