| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,582 |
5,237 |
$382K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
2,255 |
$130K |
| 99215 |
Prolong outpt/office vis |
158 |
145 |
$12K |
| 87428 |
|
78 |
69 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
70 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
41 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
652 |
613 |
$1K |
| 90686 |
|
81 |
79 |
$937.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
38 |
$238.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$80.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$39.23 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$0.00 |
| 3044F |
|
21 |
15 |
$0.00 |