| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
608 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
539 |
514 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
203 |
203 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
89 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
955 |
948 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$891.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
521 |
518 |
$726.55 |
| 90686 |
|
200 |
198 |
$288.13 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$70.72 |
| 90473 |
|
12 |
12 |
$29.04 |
| 90698 |
|
102 |
102 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |
| 90474 |
|
38 |
38 |
$0.00 |
| 90670 |
|
113 |
113 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |