| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,452 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
281 |
281 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
494 |
431 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
217 |
216 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
379 |
337 |
$14K |
| 99442 |
|
363 |
325 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
233 |
149 |
$4K |
| 99000 |
|
434 |
395 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
167 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
378 |
348 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
76 |
$1K |
| 99383 |
|
19 |
17 |
$864.18 |
| 99384 |
|
19 |
15 |
$703.54 |
| 92567 |
|
106 |
95 |
$685.31 |
| 80305 |
|
52 |
48 |
$497.82 |
| 99051 |
|
155 |
146 |
$433.32 |
| 92552 |
|
27 |
25 |
$429.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$217.62 |
| 97802 |
|
18 |
14 |
$205.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
18 |
$172.00 |
| 85018 |
|
21 |
15 |
$17.61 |
| 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 |
21 |
21 |
$8.75 |
| 99401 |
|
63 |
55 |
$0.00 |
| 99072 |
|
146 |
127 |
$0.00 |
| 99173 |
|
38 |
29 |
$0.00 |
| 90734 |
|
17 |
13 |
$0.00 |
| 90461 |
|
24 |
19 |
$0.00 |