| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,346 |
4,523 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,290 |
3,006 |
$317K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
486 |
480 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
462 |
456 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
906 |
880 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
188 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
124 |
121 |
$2K |
| 90686 |
|
99 |
96 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
33 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$873.48 |
| 81002 |
|
194 |
185 |
$460.24 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
152 |
146 |
$77.68 |
| 3288F |
|
32 |
29 |
$0.00 |
| 1158F |
|
106 |
106 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
108 |
108 |
$0.00 |
| 97802 |
|
272 |
262 |
$0.00 |
| 1170F |
|
66 |
56 |
$0.00 |
| 1123F |
|
108 |
108 |
$0.00 |