| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,533 |
2,284 |
$123K |
| 93000 |
|
852 |
851 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,725 |
1,685 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$2K |
| 90688 |
|
77 |
77 |
$1K |
| 81002 |
|
636 |
627 |
$1K |
| 96127 |
|
275 |
275 |
$1K |
| 94010 |
|
40 |
39 |
$982.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$738.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$372.73 |
| 3008F |
|
104 |
101 |
$0.00 |