| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,032 |
2,120 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
399 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
123 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
232 |
170 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
18 |
$1K |
| 80305 |
|
114 |
95 |
$722.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$610.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$220.00 |
| 82962 |
|
58 |
42 |
$92.25 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
604 |
175 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
62 |
$70.00 |
| 99454 |
|
65 |
58 |
$36.03 |
| 99457 |
|
65 |
58 |
$34.20 |
| 99453 |
|
40 |
40 |
$12.31 |
| 3074F |
|
414 |
233 |
$0.00 |
| 3008F |
|
1,495 |
953 |
$0.00 |
| 3075F |
|
61 |
50 |
$0.00 |
| 3079F |
|
57 |
51 |
$0.00 |
| 3044F |
|
26 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
12 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| 3078F |
|
416 |
234 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
72 |
13 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
60 |
29 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
89 |
62 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
84 |
25 |
$0.00 |
| 3015F |
|
44 |
12 |
$0.00 |
| 4013F |
|
13 |
12 |
$0.00 |