| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,097 |
3,187 |
$364K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
158 |
87 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
125 |
78 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
23 |
$2K |
| 99408 |
|
54 |
46 |
$2K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
29 |
26 |
$846.24 |
| 80375 |
|
520 |
269 |
$822.63 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
12 |
$556.17 |
| 0011A |
|
14 |
13 |
$440.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
47 |
35 |
$257.14 |
| 99000 |
|
100 |
63 |
$14.70 |
| 91301 |
|
33 |
31 |
$0.01 |
| 3700F |
|
792 |
474 |
$0.00 |
| 4306F |
|
382 |
214 |
$0.00 |
| 3725F |
|
1,725 |
1,088 |
$0.00 |