| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,900 |
2,351 |
$152K |
| 99199 |
Unlisted special service, procedure or report |
4,365 |
4,365 |
$15K |
| 80305 |
|
1,226 |
996 |
$8K |
| 99401 |
|
230 |
193 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
13 |
$635.31 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
54 |
$112.88 |
| 81002 |
|
61 |
42 |
$88.11 |
| 81003 |
|
45 |
41 |
$28.05 |
| 82948 |
|
15 |
12 |
$22.95 |
| 82962 |
|
21 |
12 |
$22.10 |