| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,029 |
3,671 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,436 |
3,065 |
$184K |
| 80305 |
|
3,918 |
3,350 |
$40K |
| 99215 |
Prolong outpt/office vis |
293 |
284 |
$31K |
| 96127 |
|
1,388 |
1,308 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 99051 |
|
371 |
347 |
$3K |
| 99454 |
|
76 |
76 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
180 |
$3K |
| 99457 |
|
76 |
76 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
181 |
146 |
$2K |
| 0012A |
|
55 |
55 |
$2K |
| 0011A |
|
52 |
52 |
$2K |
| 90686 |
|
89 |
89 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$788.58 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$556.70 |
| 99453 |
|
30 |
30 |
$314.28 |
| 90688 |
|
17 |
17 |
$271.59 |
| 96160 |
|
83 |
82 |
$176.95 |
| 82962 |
|
65 |
63 |
$174.79 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
65 |
$144.90 |