| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,269 |
7,490 |
$780K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,602 |
6,029 |
$356K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,186 |
1,057 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,427 |
1,098 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
742 |
494 |
$63K |
| 99385 |
|
258 |
191 |
$29K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
202 |
159 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
194 |
$15K |
| 99386 |
|
149 |
115 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
107 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
108 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
74 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
204 |
128 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
170 |
$4K |
| 82570 |
|
773 |
596 |
$4K |
| 81003 |
|
753 |
601 |
$2K |
| 99383 |
|
15 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
65 |
64 |
$1K |
| 99384 |
|
14 |
12 |
$1K |
| 86769 |
|
31 |
17 |
$1K |
| 82962 |
|
545 |
394 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
61 |
$1K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
39 |
36 |
$814.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
32 |
$792.35 |
| 0012A |
|
20 |
16 |
$546.12 |
| 81002 |
|
169 |
126 |
$400.40 |
| 87081 |
|
69 |
49 |
$377.00 |
| 94760 |
|
83 |
67 |
$361.36 |
| 0011A |
|
18 |
18 |
$304.92 |
| 81025 |
|
68 |
55 |
$235.04 |
| 90649 |
|
21 |
15 |
$134.40 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
41 |
$82.00 |