| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,594 |
1,106 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
929 |
$45K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
110 |
104 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
631 |
510 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
182 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
575 |
469 |
$6K |
| 99385 |
|
25 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
202 |
$4K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
67 |
56 |
$4K |
| 99205 |
Prolong outpt/office vis |
80 |
73 |
$2K |
| 99215 |
Prolong outpt/office vis |
33 |
26 |
$2K |
| 99402 |
|
640 |
580 |
$2K |
| 99401 |
|
1,147 |
823 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$998.97 |
| 93000 |
|
165 |
160 |
$779.77 |
| 81001 |
|
310 |
286 |
$235.98 |
| 99497 |
|
681 |
467 |
$167.01 |
| 36415 |
Collection of venous blood by venipuncture |
456 |
412 |
$20.27 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
529 |
443 |
$0.00 |
| 99404 |
|
25 |
25 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
209 |
176 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
106 |
87 |
$0.00 |