| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,556 |
4,133 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,797 |
4,199 |
$245K |
| 99199 |
Unlisted special service, procedure or report |
21,973 |
12,048 |
$147K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
838 |
724 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,782 |
3,433 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
150 |
129 |
$5K |
| 90686 |
|
246 |
218 |
$1K |
| 90674 |
|
102 |
95 |
$1K |
| 87428 |
|
27 |
25 |
$1K |
| 99442 |
|
28 |
25 |
$912.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
15 |
$367.38 |
| 90661 |
|
15 |
15 |
$261.55 |
| 81002 |
|
14 |
13 |
$29.79 |
| 99072 |
|
953 |
844 |
$18.04 |
| 3008F |
|
2,235 |
1,955 |
$6.85 |
| 3078F |
|
309 |
279 |
$2.71 |
| 3074F |
|
570 |
526 |
$0.00 |
| 3048F |
|
413 |
364 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 4010F |
|
42 |
37 |
$0.00 |
| 99000 |
|
284 |
233 |
$0.00 |
| 3061F |
|
27 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
66 |
$0.00 |
| 3079F |
|
190 |
166 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
26 |
$0.00 |