| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,281 |
2,016 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,018 |
942 |
$90K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
72 |
$3K |
| 99385 |
|
13 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0011A |
|
45 |
45 |
$1K |
| 96127 |
|
322 |
322 |
$969.54 |
| 0012A |
|
28 |
28 |
$922.07 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$359.23 |
| 36415 |
Collection of venous blood by venipuncture |
478 |
470 |
$209.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$183.99 |
| 99173 |
|
22 |
22 |
$6.92 |