| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,838 |
9,362 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,199 |
2,400 |
$193K |
| 92015 |
Determination of refractive state |
1,053 |
1,043 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
257 |
256 |
$28K |
| 99403 |
|
271 |
266 |
$19K |
| 94760 |
|
9,871 |
7,056 |
$14K |
| 99402 |
|
224 |
224 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
974 |
681 |
$10K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
60 |
58 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
583 |
562 |
$2K |
| 90688 |
|
73 |
73 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
94 |
$752.63 |
| 90756 |
|
78 |
75 |
$700.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
40 |
$474.13 |
| 93000 |
|
26 |
25 |
$348.01 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
78 |
60 |
$105.61 |