| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,576 |
7,692 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,606 |
5,078 |
$406K |
| 99402 |
|
917 |
716 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
341 |
337 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
165 |
$19K |
| 93000 |
|
1,158 |
969 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
102 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
154 |
$7K |
| 36410 |
|
842 |
792 |
$5K |
| 99215 |
Prolong outpt/office vis |
38 |
31 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 94060 |
|
83 |
82 |
$4K |
| 0011A |
|
56 |
55 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
181 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
61 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
18 |
$967.21 |
| 0013A |
|
33 |
33 |
$859.07 |
| 0012A |
|
23 |
23 |
$824.50 |
| 90674 |
|
25 |
25 |
$487.37 |
| 36415 |
Collection of venous blood by venipuncture |
1,144 |
1,099 |
$374.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$346.88 |
| 81002 |
|
109 |
109 |
$263.24 |
| 99422 |
|
14 |
14 |
$254.54 |
| 90756 |
|
13 |
13 |
$235.90 |
| 99050 |
|
21 |
13 |
$201.60 |
| 99051 |
|
14 |
12 |
$68.60 |
| 91301 |
|
108 |
107 |
$0.33 |
| 90658 |
|
12 |
12 |
$0.00 |