| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,782 |
4,752 |
$638K |
| 90682 |
|
74 |
74 |
$4K |
| 93000 |
|
267 |
260 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
60 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
78 |
$3K |
| 99443 |
|
49 |
47 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
148 |
$2K |
| 87428 |
|
71 |
65 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
124 |
$1K |
| 99423 |
|
16 |
16 |
$722.40 |
| 0013A |
|
19 |
19 |
$680.20 |
| 0011A |
|
33 |
33 |
$542.08 |
| 0012A |
|
16 |
16 |
$454.24 |
| 94010 |
|
12 |
12 |
$330.58 |
| 3074F |
|
162 |
149 |
$242.50 |
| 90688 |
|
14 |
14 |
$221.52 |
| 3078F |
|
119 |
109 |
$175.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
144 |
123 |
$93.06 |
| 36415 |
Collection of venous blood by venipuncture |
1,642 |
1,592 |
$79.05 |
| 3048F |
|
12 |
12 |
$0.00 |
| 91301 |
|
102 |
102 |
$0.00 |
| 3044F |
|
228 |
211 |
$0.00 |
| 3051F |
|
409 |
368 |
$0.00 |