| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,850 |
3,673 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,787 |
1,682 |
$71K |
| 92587 |
|
96 |
96 |
$2K |
| 90686 |
|
84 |
84 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
65 |
60 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,279 |
3,085 |
$869.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
187 |
171 |
$751.93 |
| 93000 |
|
68 |
67 |
$704.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$381.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
56 |
$311.25 |
| 90674 |
|
13 |
13 |
$215.38 |
| 90662 |
|
16 |
16 |
$212.50 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$30.00 |
| 3078F |
|
629 |
584 |
$2.50 |
| 3074F |
|
764 |
714 |
$2.50 |
| 1159F |
|
1,341 |
1,220 |
$0.00 |
| 1160F |
|
1,338 |
1,218 |
$0.00 |
| 99080 |
|
275 |
230 |
$0.00 |
| 99072 |
|
22 |
22 |
$0.00 |
| 3079F |
|
67 |
66 |
$0.00 |