| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,785 |
2,450 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,968 |
1,644 |
$34K |
| 99000 |
|
1,557 |
1,424 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,017 |
997 |
$2K |
| 82947 |
|
1,062 |
1,027 |
$612.62 |
| 87428 |
|
13 |
12 |
$514.43 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$331.04 |
| 0012A |
|
60 |
59 |
$301.78 |
| 0011A |
|
57 |
57 |
$169.40 |
| 99441 |
|
13 |
13 |
$86.79 |
| 81002 |
|
39 |
37 |
$32.12 |
| 90694 |
|
49 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
205 |
165 |
$0.00 |
| 3044F |
|
329 |
314 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
849 |
781 |
$0.00 |
| 91301 |
|
119 |
118 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
35 |
$0.00 |
| 90653 |
|
73 |
64 |
$0.00 |
| 90662 |
|
40 |
39 |
$0.00 |