| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,302 |
4,792 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,571 |
$64K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
162 |
128 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
143 |
$12K |
| 94010 |
|
442 |
410 |
$8K |
| 93970 |
|
31 |
29 |
$4K |
| 20610 |
|
85 |
56 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
123 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
49 |
48 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
48 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$859.21 |
| 99188 |
|
69 |
69 |
$697.45 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$657.27 |
| 87807 |
|
49 |
48 |
$602.60 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$599.85 |
| 81003 |
|
182 |
176 |
$327.04 |
| 82947 |
|
90 |
80 |
$202.36 |
| 81002 |
|
32 |
30 |
$68.58 |
| 3044F |
|
44 |
39 |
$10.00 |
| 3080F |
|
285 |
233 |
$0.05 |
| 3077F |
|
496 |
432 |
$0.04 |
| 3074F |
|
654 |
601 |
$0.03 |
| 3075F |
|
315 |
292 |
$0.03 |
| 3079F |
|
647 |
603 |
$0.02 |
| 3078F |
|
298 |
281 |
$0.02 |
| 1125F |
|
525 |
464 |
$0.00 |
| 3008F |
|
799 |
716 |
$0.00 |
| 4010F |
|
553 |
474 |
$0.00 |
| 1170F |
|
164 |
145 |
$0.00 |
| 1126F |
|
442 |
393 |
$0.00 |
| 3351F |
|
182 |
175 |
$0.00 |
| 1036F |
|
53 |
43 |
$0.00 |
| 1159F |
|
1,147 |
1,026 |
$0.00 |
| 1160F |
|
1,192 |
1,060 |
$0.00 |
| 1033F |
|
508 |
465 |
$0.00 |
| 1032F |
|
15 |
13 |
$0.00 |