| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,189 |
2,590 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,742 |
1,396 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
118 |
$7K |
| 99490 |
Ccm add 20min |
320 |
319 |
$5K |
| 99215 |
Prolong outpt/office vis |
47 |
39 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
144 |
107 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
46 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
65 |
44 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
51 |
$934.22 |
| 0003A |
|
26 |
26 |
$795.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$523.76 |
| 93000 |
|
88 |
78 |
$482.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115 |
112 |
$419.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$419.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
67 |
66 |
$414.60 |
| 80076 |
|
111 |
107 |
$323.66 |
| 80061 |
Lipid panel |
62 |
62 |
$307.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
85 |
80 |
$241.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$190.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$152.34 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
106 |
$141.72 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$118.40 |
| 84436 |
|
49 |
48 |
$115.20 |
| 84479 |
|
50 |
49 |
$112.44 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$83.48 |
| 81003 |
|
15 |
15 |
$16.25 |
| 99000 |
|
13 |
12 |
$9.52 |
| 94760 |
|
13 |
12 |
$7.00 |
| 99072 |
|
91 |
81 |
$0.00 |