| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,230 |
2,544 |
$138K |
| 95251 |
|
1,299 |
1,074 |
$22K |
| 82947 |
|
2,238 |
1,712 |
$8K |
| 93923 |
|
50 |
48 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
62 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
87 |
$3K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
322 |
279 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
26 |
21 |
$2K |
| 97124 |
|
45 |
39 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
305 |
282 |
$2K |
| 0001A |
|
56 |
45 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
43 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
54 |
$897.05 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
45 |
40 |
$664.61 |
| 86769 |
|
30 |
28 |
$608.60 |
| 90674 |
|
23 |
23 |
$555.37 |
| 82607 |
|
68 |
61 |
$528.27 |
| 0002A |
|
18 |
16 |
$453.65 |
| 0064A |
|
40 |
37 |
$444.97 |
| 83525 |
|
55 |
47 |
$355.29 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
30 |
$295.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$279.30 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
163 |
$253.81 |
| 82043 |
|
14 |
14 |
$71.56 |
| 82570 |
|
14 |
14 |
$63.84 |
| 91306 |
|
40 |
37 |
$0.00 |
| 95923 |
|
22 |
22 |
$0.00 |
| 91300 |
|
143 |
110 |
$0.00 |