| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,158 |
779 |
$26K |
| 99215 |
Prolong outpt/office vis |
287 |
59 |
$3K |
| 90734 |
|
636 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
84 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
225 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
146 |
132 |
$1K |
| 90673 |
|
18 |
18 |
$1K |
| 90656 |
|
72 |
70 |
$739.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
735 |
274 |
$731.54 |
| 36415 |
Collection of venous blood by venipuncture |
497 |
477 |
$386.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$369.87 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
39 |
35 |
$329.67 |
| 81002 |
|
281 |
258 |
$313.20 |
| Q3014 |
Telehealth originating site facility fee |
39 |
35 |
$50.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$7.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
256 |
214 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 94760 |
|
577 |
549 |
$0.00 |
| 99406 |
|
27 |
26 |
$0.00 |