| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99384 |
|
337 |
286 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
282 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
468 |
356 |
$12K |
| 0071A |
|
297 |
280 |
$11K |
| 0072A |
|
194 |
181 |
$7K |
| 99383 |
|
102 |
75 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
69 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
361 |
304 |
$3K |
| 0001A |
|
80 |
76 |
$3K |
| 99173 |
|
746 |
629 |
$2K |
| 0004A |
|
82 |
81 |
$2K |
| 0002A |
|
55 |
51 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
42 |
$2K |
| 96127 |
|
395 |
342 |
$1K |
| 94760 |
|
1,200 |
997 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
19 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
668 |
576 |
$936.11 |
| 81003 |
|
715 |
603 |
$904.98 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
26 |
19 |
$422.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
19 |
$251.26 |
| 0064A |
|
17 |
17 |
$160.00 |
| 90756 |
|
35 |
35 |
$79.77 |
| 90686 |
|
22 |
15 |
$60.24 |
| 99401 |
|
22 |
19 |
$52.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$34.37 |
| 91307 |
|
517 |
471 |
$0.25 |
| 91300 |
|
372 |
347 |
$0.10 |
| 90734 |
|
184 |
137 |
$0.00 |
| 90715 |
|
71 |
48 |
$0.00 |
| 90651 |
|
219 |
160 |
$0.00 |
| 91306 |
|
19 |
19 |
$0.00 |
| 90650 |
|
15 |
12 |
$0.00 |