| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,681 |
4,380 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,177 |
1,103 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
349 |
323 |
$30K |
| 96127 |
|
6,693 |
4,433 |
$21K |
| 99493 |
|
229 |
218 |
$19K |
| 99494 |
|
200 |
191 |
$8K |
| 99401 |
|
258 |
255 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
716 |
665 |
$2K |
| 99000 |
|
734 |
579 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$1K |
| 99492 |
|
12 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
20 |
$1K |
| 90686 |
|
16 |
16 |
$253.63 |
| 90688 |
|
18 |
17 |
$239.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
18 |
$183.03 |
| 1159F |
|
917 |
825 |
$0.00 |
| 1160F |
|
905 |
814 |
$0.00 |
| 3725F |
|
986 |
905 |
$0.00 |
| 3078F |
|
125 |
112 |
$0.00 |
| 3008F |
|
1,026 |
920 |
$0.00 |
| 1036F |
|
757 |
671 |
$0.00 |
| 3074F |
|
271 |
242 |
$0.00 |
| 1034F |
|
19 |
14 |
$0.00 |
| 3079F |
|
33 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
19 |
$0.00 |