| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,388 |
2,305 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,160 |
2,965 |
$167K |
| 99215 |
Prolong outpt/office vis |
87 |
87 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
108 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
389 |
384 |
$5K |
| 99383 |
|
43 |
43 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
465 |
458 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
170 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
831 |
817 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$876.60 |
| 90662 |
|
19 |
19 |
$848.38 |
| 99000 |
|
286 |
284 |
$844.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
45 |
$342.96 |
| 90686 |
|
64 |
63 |
$244.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$183.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$89.08 |
| 81003 |
|
48 |
48 |
$54.67 |
| 99050 |
|
1,689 |
1,572 |
$7.86 |
| 3080F |
|
305 |
292 |
$0.00 |
| 90716 |
|
28 |
27 |
$0.00 |
| 3074F |
|
459 |
422 |
$0.00 |
| 3079F |
|
367 |
344 |
$0.00 |
| 3075F |
|
108 |
100 |
$0.00 |
| 36410 |
|
19 |
19 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
16 |
16 |
$0.00 |
| 3077F |
|
229 |
217 |
$0.00 |
| 3078F |
|
295 |
274 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |