| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,505 |
4,918 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,145 |
2,042 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,833 |
1,703 |
$28K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
132 |
126 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
69 |
$2K |
| 90756 |
|
225 |
219 |
$2K |
| 99497 |
|
63 |
60 |
$855.82 |
| G0008 |
Administration of influenza virus vaccine |
227 |
221 |
$704.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$469.02 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$411.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$163.87 |
| 96160 |
|
56 |
54 |
$31.85 |
| 96127 |
|
66 |
61 |
$27.70 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$7.56 |
| 99406 |
|
13 |
12 |
$7.42 |
| 3077F |
|
74 |
67 |
$0.00 |
| 3078F |
|
84 |
79 |
$0.00 |
| 3074F |
|
119 |
109 |
$0.00 |
| 3079F |
|
86 |
75 |
$0.00 |
| 3080F |
|
54 |
48 |
$0.00 |