| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,457 |
3,985 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
418 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
90 |
$8K |
| 90686 |
|
286 |
280 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
343 |
334 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$709.44 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
53 |
$118.58 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
28 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |