| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,953 |
4,430 |
$535K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
483 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$9K |
| 90756 |
|
189 |
189 |
$5K |
| 94010 |
|
161 |
161 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
316 |
315 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
220 |
207 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
54 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
19 |
$2K |
| 0011A |
|
32 |
32 |
$1K |
| 99402 |
|
36 |
27 |
$1K |
| 90661 |
|
33 |
33 |
$1K |
| 0012A |
|
27 |
27 |
$1K |
| 90688 |
|
52 |
51 |
$973.89 |
| 96127 |
|
180 |
157 |
$837.67 |
| 0064A |
|
12 |
12 |
$492.78 |
| 93000 |
|
21 |
21 |
$298.61 |
| 80305 |
|
28 |
27 |
$202.53 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
78 |
74 |
$153.86 |
| 99072 |
|
22 |
21 |
$0.00 |