| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,552 |
4,638 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,958 |
2,564 |
$193K |
| 99401 |
|
4,361 |
3,638 |
$133K |
| 99215 |
Prolong outpt/office vis |
922 |
806 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
600 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
401 |
391 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
312 |
305 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
98 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,797 |
2,630 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
19 |
19 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$5K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 99490 |
Ccm add 20min |
236 |
236 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
16 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
18 |
$2K |
| 99441 |
|
212 |
189 |
$1K |
| 93000 |
|
65 |
62 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$280.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |