| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
213 |
172 |
$14K |
| 99442 |
|
452 |
206 |
$13K |
| 99350 |
Prolong home eval add 15m |
151 |
113 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
100 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
95 |
$4K |
| 99349 |
|
62 |
56 |
$4K |
| 99441 |
|
298 |
213 |
$3K |
| 99344 |
|
50 |
49 |
$2K |
| 99423 |
|
308 |
86 |
$918.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
108 |
$764.88 |
| 99343 |
|
12 |
12 |
$324.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$145.96 |
| 81002 |
|
80 |
76 |
$40.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$8.95 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
68 |
56 |
$3.05 |
| 3074F |
|
211 |
166 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |
| 99457 |
|
64 |
63 |
$0.00 |
| 99454 |
|
59 |
58 |
$0.00 |
| 99458 |
|
64 |
63 |
$0.00 |
| 3078F |
|
200 |
160 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
20 |
15 |
$0.00 |