| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,952 |
1,798 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
285 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
58 |
$2K |
| 87400 |
|
48 |
44 |
$718.38 |
| 90674 |
|
15 |
15 |
$449.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$212.91 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
73 |
$156.06 |
| 3078F |
|
21 |
21 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| 3008F |
|
45 |
45 |
$0.00 |
| 3074F |
|
35 |
35 |
$0.00 |