| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,096 |
975 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,249 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
45 |
$4K |
| 92551 |
|
177 |
125 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
33 |
$593.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
31 |
$363.14 |
| 99173 |
|
188 |
140 |
$317.23 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
32 |
23 |
$161.38 |
| 99401 |
|
32 |
22 |
$142.59 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
72 |
$139.44 |
| 85018 |
|
226 |
165 |
$121.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$82.80 |
| 90461 |
|
37 |
24 |
$0.00 |
| 90734 |
|
21 |
12 |
$0.00 |
| 90651 |
|
20 |
12 |
$0.00 |