| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,359 |
3,086 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,272 |
2,140 |
$181K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
91 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 0004A |
|
19 |
19 |
$755.47 |
| 36415 |
Collection of venous blood by venipuncture |
288 |
283 |
$507.42 |
| 90686 |
|
25 |
25 |
$457.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$400.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$284.45 |