| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,569 |
2,317 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
743 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
173 |
$3K |
| 0012A |
|
71 |
70 |
$3K |
| 0011A |
|
69 |
68 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 90658 |
|
26 |
25 |
$797.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$486.07 |
| 90686 |
|
26 |
26 |
$258.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
179 |
173 |
$242.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$199.95 |
| 0001A |
|
12 |
12 |
$186.34 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$130.39 |
| 96127 |
|
12 |
12 |
$40.82 |
| 99072 |
|
334 |
295 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |
| 91301 |
|
150 |
135 |
$0.00 |
| 91307 |
|
25 |
25 |
$0.00 |