| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,597 |
4,762 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,194 |
1,048 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
59 |
$5K |
| 93000 |
|
373 |
372 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$3K |
| 99385 |
|
25 |
25 |
$3K |
| 96127 |
|
833 |
718 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
19 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
826 |
808 |
$990.44 |
| 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 |
29 |
25 |
$900.00 |
| 90674 |
|
13 |
13 |
$345.22 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
29 |
25 |
$269.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$210.38 |
| 3074F |
|
151 |
134 |
$135.00 |
| 3044F |
|
16 |
12 |
$20.00 |
| 3078F |
|
58 |
53 |
$15.00 |
| 36416 |
|
67 |
57 |
$0.00 |
| 99000 |
|
572 |
560 |
$0.00 |