| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
945 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
692 |
651 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
180 |
$3K |
| 90756 |
|
95 |
95 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$871.92 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
178 |
$758.31 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$484.12 |
| 90661 |
|
14 |
13 |
$200.60 |
| 99000 |
|
115 |
110 |
$0.00 |