| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,723 |
3,217 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,311 |
$61K |
| 99215 |
Prolong outpt/office vis |
336 |
289 |
$20K |
| 93793 |
|
966 |
663 |
$5K |
| 90686 |
|
240 |
214 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
63 |
56 |
$908.54 |
| 87428 |
|
12 |
12 |
$763.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$441.30 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
27 |
$292.19 |
| 81003 |
|
104 |
96 |
$220.97 |
| 36415 |
Collection of venous blood by venipuncture |
916 |
865 |
$187.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
66 |
$0.00 |