| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,485 |
2,217 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,157 |
1,026 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
306 |
$4K |
| 90686 |
|
274 |
266 |
$3K |
| 93000 |
|
306 |
297 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
40 |
$2K |
| 99401 |
|
12 |
12 |
$221.97 |
| 90656 |
|
24 |
15 |
$38.02 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$29.90 |
| 99457 |
|
80 |
65 |
$0.00 |
| 99454 |
|
39 |
36 |
$0.00 |
| 99458 |
|
46 |
38 |
$0.00 |
| 1030F |
|
18 |
15 |
$0.00 |