| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,415 |
5,898 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,307 |
1,879 |
$89K |
| 80061 |
Lipid panel |
1,014 |
784 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
62 |
$6K |
| 90674 |
|
151 |
125 |
$3K |
| 90656 |
|
91 |
79 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
176 |
131 |
$1K |
| 90688 |
|
81 |
76 |
$948.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
229 |
$935.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
43 |
$347.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$251.76 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
157 |
$243.60 |
| 81003 |
|
80 |
69 |
$153.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
26 |
$18.61 |
| Q3014 |
Telehealth originating site facility fee |
86 |
72 |
$0.36 |
| 3078F |
|
321 |
286 |
$0.00 |
| 3077F |
|
116 |
101 |
$0.00 |
| 3074F |
|
537 |
452 |
$0.00 |
| 3079F |
|
407 |
327 |
$0.00 |
| 3075F |
|
39 |
39 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
61 |
38 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |