| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
105 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28,110 |
19,150 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
5,802 |
4,842 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,868 |
2,487 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,440 |
1,067 |
$919.57 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$523.38 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
20 |
14 |
$359.38 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,445 |
1,574 |
$257.80 |
| 71046 |
Radiologic examination, chest; 2 views |
1,462 |
1,303 |
$212.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,243 |
9,511 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 71020 |
|
118 |
106 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
40 |
40 |
$0.00 |