| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,563 |
3,925 |
$415K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,456 |
3,019 |
$222K |
| 99215 |
Prolong outpt/office vis |
496 |
471 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
352 |
340 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
142 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
87 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
54 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,531 |
2,302 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
144 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
533 |
423 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
566 |
552 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
117 |
113 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
33 |
29 |
$4K |
| 87428 |
|
44 |
42 |
$3K |
| 93000 |
|
297 |
292 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
148 |
$2K |
| 81003 |
|
1,012 |
970 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
35 |
$1K |
| 99499 |
|
19 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
106 |
$1K |
| 81025 |
|
208 |
165 |
$1K |
| 90686 |
|
57 |
56 |
$999.10 |
| 92552 |
|
40 |
40 |
$986.96 |
| 90674 |
|
29 |
27 |
$752.12 |
| 96127 |
|
226 |
224 |
$627.99 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$615.11 |
| 99406 |
|
31 |
27 |
$220.74 |
| 94010 |
|
14 |
13 |
$188.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$180.02 |
| 85018 |
|
90 |
87 |
$161.19 |
| 81002 |
|
13 |
12 |
$34.56 |
| 3078F |
|
2,576 |
2,256 |
$6.51 |
| 3008F |
|
3,789 |
3,213 |
$6.51 |
| 3074F |
|
3,009 |
2,635 |
$6.51 |
| 1160F |
|
2,253 |
1,882 |
$6.00 |
| 1159F |
|
2,029 |
1,703 |
$6.00 |
| 1036F |
|
2,063 |
1,737 |
$0.51 |
| 3077F |
|
232 |
206 |
$0.00 |
| 3725F |
|
270 |
262 |
$0.00 |
| 3079F |
|
1,101 |
1,012 |
$0.00 |
| 3044F |
|
306 |
296 |
$0.00 |
| 3075F |
|
447 |
415 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1034F |
|
367 |
314 |
$0.00 |
| 3080F |
|
27 |
25 |
$0.00 |