| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,544 |
1,168 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
435 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
369 |
339 |
$2K |
| 99307 |
|
389 |
351 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$763.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
192 |
184 |
$600.67 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
16 |
$564.41 |
| 81003 |
|
276 |
253 |
$245.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$225.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$124.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$104.80 |
| 99305 |
|
21 |
20 |
$50.92 |
| 3725F |
|
15 |
13 |
$0.00 |
| 1159F |
|
238 |
195 |
$0.00 |
| 1160F |
|
503 |
362 |
$0.00 |
| 3078F |
|
255 |
199 |
$0.00 |
| 3077F |
|
31 |
27 |
$0.00 |
| 1090F |
|
23 |
20 |
$0.00 |
| 3008F |
|
244 |
193 |
$0.00 |
| 3074F |
|
337 |
262 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
448 |
394 |
$0.00 |
| 3075F |
|
27 |
25 |
$0.00 |
| 3079F |
|
130 |
115 |
$0.00 |
| 1126F |
|
37 |
32 |
$0.00 |
| 1125F |
|
65 |
59 |
$0.00 |
| 1170F |
|
23 |
20 |
$0.00 |