| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,625 |
3,552 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,018 |
1,985 |
$63K |
| 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 |
281 |
224 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
860 |
496 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
172 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
123 |
$9K |
| 80305 |
|
1,656 |
1,060 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
899 |
509 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
170 |
84 |
$3K |
| 87400 |
|
827 |
474 |
$3K |
| 80061 |
Lipid panel |
323 |
190 |
$2K |
| 99406 |
|
298 |
145 |
$2K |
| 93000 |
|
236 |
119 |
$2K |
| 82947 |
|
388 |
206 |
$800.50 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$786.84 |
| 81002 |
|
438 |
295 |
$724.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
65 |
$711.54 |
| 36415 |
Collection of venous blood by venipuncture |
1,013 |
511 |
$594.45 |
| 96127 |
|
264 |
101 |
$312.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
14 |
$112.90 |
| 81003 |
|
142 |
54 |
$67.20 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
32 |
15 |
$54.59 |
| 81000 |
|
190 |
99 |
$40.68 |
| 99408 |
|
149 |
80 |
$25.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$2.96 |
| H0049 |
Alcohol and/or drug screening |
122 |
87 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
49 |
29 |
$0.00 |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
79 |
67 |
$0.00 |