| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,246 |
1,848 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,317 |
1,106 |
$70K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
158 |
138 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
36 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
46 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$1K |
| 96127 |
|
80 |
62 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
57 |
$877.58 |
| 36415 |
Collection of venous blood by venipuncture |
351 |
309 |
$822.48 |
| 0011A |
|
12 |
12 |
$494.16 |
| 0012A |
|
12 |
12 |
$494.16 |
| 99000 |
|
1,030 |
889 |
$287.52 |
| 99173 |
|
12 |
12 |
$105.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$19.27 |
| 91301 |
|
32 |
32 |
$0.00 |
| 99072 |
|
48 |
44 |
$0.00 |