| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,407 |
1,303 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
86 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$685.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$505.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$313.46 |
| 99335 |
|
140 |
124 |
$296.67 |
| 36415 |
Collection of venous blood by venipuncture |
419 |
410 |
$184.42 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$171.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$113.93 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
14 |
$82.76 |
| 3074F |
|
173 |
168 |
$80.00 |
| 3078F |
|
80 |
80 |
$40.00 |
| 99000 |
|
52 |
43 |
$0.00 |