| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,470 |
1,384 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
295 |
$19K |
| 93000 |
|
647 |
637 |
$6K |
| 90674 |
|
71 |
71 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90756 |
|
32 |
32 |
$708.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
133 |
$701.90 |
| 90661 |
|
22 |
22 |
$378.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$269.24 |
| 3074F |
|
456 |
418 |
$195.00 |
| 82947 |
|
101 |
96 |
$188.34 |
| 36415 |
Collection of venous blood by venipuncture |
2,288 |
2,189 |
$170.15 |
| 3078F |
|
240 |
219 |
$125.00 |
| 1170F |
|
429 |
398 |
$25.98 |
| 1160F |
|
413 |
382 |
$0.00 |
| 1159F |
|
415 |
383 |
$0.00 |
| 99408 |
|
13 |
12 |
$0.00 |
| 1125F |
|
436 |
404 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| 99000 |
|
1,102 |
1,040 |
$0.00 |
| 3008F |
|
183 |
175 |
$0.00 |
| 3079F |
|
14 |
12 |
$0.00 |