| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,730 |
2,357 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,324 |
1,131 |
$67K |
| 99490 |
Ccm add 20min |
1,102 |
991 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
69 |
$5K |
| 90688 |
|
278 |
233 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
63 |
59 |
$952.36 |
| 99173 |
|
210 |
196 |
$935.00 |
| 0012A |
|
27 |
27 |
$920.00 |
| 92551 |
|
211 |
195 |
$910.75 |
| 36415 |
Collection of venous blood by venipuncture |
574 |
493 |
$798.00 |
| 90686 |
|
45 |
41 |
$738.73 |
| 0064A |
|
12 |
12 |
$400.00 |
| 0011A |
|
17 |
16 |
$360.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
88 |
$330.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$316.44 |
| 90672 |
|
12 |
12 |
$237.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$209.00 |
| 80061 |
Lipid panel |
13 |
12 |
$154.00 |
| 99401 |
|
72 |
70 |
$0.00 |