| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,025 |
2,211 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,085 |
2,212 |
$121K |
| 96160 |
|
2,562 |
919 |
$42K |
| 99215 |
Prolong outpt/office vis |
539 |
319 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
567 |
486 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
339 |
300 |
$22K |
| 99385 |
|
211 |
167 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
158 |
110 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
73 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
236 |
157 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,323 |
926 |
$2K |
| 81002 |
|
1,110 |
516 |
$2K |
| 99384 |
|
16 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 81003 |
|
711 |
398 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 99383 |
|
17 |
17 |
$1K |
| 81025 |
|
196 |
154 |
$851.05 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$804.41 |
| 90677 |
|
122 |
114 |
$675.79 |
| 96127 |
|
58 |
52 |
$343.63 |
| 99173 |
|
63 |
58 |
$311.85 |
| 90648 |
|
79 |
75 |
$16.37 |
| 0502F |
|
322 |
170 |
$0.00 |
| 90686 |
|
20 |
14 |
$0.00 |
| 90723 |
|
30 |
28 |
$0.00 |