| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,445 |
2,151 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
57 |
$2K |
| 90686 |
|
183 |
167 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
50 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
91 |
$978.84 |
| A4927 |
Gloves, non-sterile, per 100 |
1,148 |
945 |
$409.86 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
107 |
$221.80 |
| 3078F |
|
81 |
64 |
$55.01 |
| 3074F |
|
32 |
26 |
$35.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
94 |
79 |
$1.04 |
| A4215 |
Needle, sterile, any size, each |
286 |
231 |
$0.25 |