| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,605 |
5,073 |
$337K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
463 |
$20K |
| 90686 |
|
524 |
433 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$998.92 |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$918.16 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
21 |
$777.26 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
47 |
43 |
$512.79 |
| 90734 |
|
13 |
13 |
$83.20 |
| 36415 |
Collection of venous blood by venipuncture |
420 |
406 |
$33.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
151 |
$0.00 |