| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,141 |
3,010 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
196 |
$11K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
263 |
261 |
$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 |
81 |
74 |
$6K |
| X5622 |
|
24 |
24 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
93 |
91 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
106 |
97 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$1K |
| 96127 |
|
445 |
426 |
$995.57 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
147 |
$665.86 |
| 99000 |
|
51 |
50 |
$444.96 |
| 92551 |
|
70 |
67 |
$213.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$96.57 |
| 99173 |
|
57 |
55 |
$44.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |