| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,328 |
6,476 |
$902K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
1,092 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,048 |
1,815 |
$124K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
497 |
497 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,486 |
1,406 |
$27K |
| 90686 |
|
470 |
470 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$8K |
| 90750 |
|
29 |
29 |
$5K |
| 90656 |
|
208 |
208 |
$4K |
| 90688 |
|
206 |
205 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,885 |
2,832 |
$4K |
| 0124A |
|
59 |
59 |
$2K |
| 91320 |
|
18 |
18 |
$2K |
| 0134A |
|
55 |
55 |
$2K |
| 0013A |
|
47 |
47 |
$2K |
| 0011A |
|
34 |
34 |
$1K |
| 0031A |
|
27 |
27 |
$954.21 |
| 0003A |
|
18 |
18 |
$764.59 |
| 90480 |
|
18 |
18 |
$554.72 |
| 0012A |
|
13 |
13 |
$551.26 |
| 99072 |
|
81 |
73 |
$480.00 |
| S8301 |
Infection control supplies, not otherwise specified |
222 |
203 |
$448.00 |
| 90674 |
|
12 |
12 |
$332.66 |
| 96127 |
|
66 |
63 |
$329.34 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
15 |
$102.80 |
| 91312 |
|
54 |
54 |
$0.34 |
| 91313 |
|
49 |
49 |
$0.32 |
| 91301 |
|
75 |
75 |
$0.09 |
| 91303 |
|
21 |
21 |
$0.01 |
| 99000 |
|
520 |
498 |
$0.00 |