| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
963 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
331 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
773 |
464 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
495 |
223 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
144 |
131 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
158 |
144 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
373 |
183 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
208 |
$3K |
| 99000 |
|
183 |
139 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90461 |
|
31 |
26 |
$219.69 |
| 81000 |
|
17 |
12 |
$61.74 |
| 97802 |
|
133 |
111 |
$30.26 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
66 |
$0.00 |
| 99058 |
|
24 |
24 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
16 |
$0.00 |
| 36416 |
|
14 |
13 |
$0.00 |
| 4037F |
|
38 |
38 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
127 |
112 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
43 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 1033F |
|
63 |
47 |
$0.00 |
| 99072 |
|
17 |
14 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
18 |
17 |
$0.00 |