| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,242 |
1,720 |
$67K |
| 99091 |
|
295 |
288 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
412 |
$19K |
| 93922 |
|
329 |
307 |
$8K |
| 99444 |
|
118 |
36 |
$7K |
| 99423 |
|
51 |
12 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
79 |
74 |
$2K |
| 93000 |
|
180 |
161 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 97750 |
|
71 |
58 |
$681.62 |
| 0011A |
|
20 |
19 |
$440.00 |
| 81002 |
|
179 |
164 |
$426.32 |
| 0012A |
|
21 |
21 |
$400.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$312.33 |
| 82947 |
|
31 |
26 |
$58.72 |
| 91301 |
|
58 |
53 |
$0.02 |
| 1159F |
|
235 |
209 |
$0.00 |
| 1160F |
|
217 |
192 |
$0.00 |
| 3725F |
|
42 |
40 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| 3008F |
|
1,873 |
1,446 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
545 |
314 |
$0.00 |
| 1123F |
|
18 |
15 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 1157F |
|
15 |
15 |
$0.00 |
| 1126F |
|
14 |
12 |
$0.00 |
| 3074F |
|
20 |
13 |
$0.00 |
| 1036F |
|
17 |
12 |
$0.00 |
| 1034F |
|
20 |
13 |
$0.00 |