| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,609 |
3,396 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,407 |
1,351 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
251 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
971 |
919 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
138 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 90674 |
|
78 |
78 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
75 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
74 |
68 |
$931.61 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$484.12 |
| 90686 |
|
34 |
33 |
$479.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$302.00 |
| 81002 |
|
14 |
14 |
$37.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$29.33 |