| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,949 |
2,437 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
195 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
136 |
$8K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
29 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
37 |
$2K |
| 90688 |
|
148 |
145 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
133 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$733.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
13 |
$141.57 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$27.00 |
| 1036F |
|
683 |
594 |
$0.00 |
| 1000F |
|
980 |
858 |
$0.00 |
| 3008F |
|
52 |
45 |
$0.00 |
| 1101F |
|
61 |
51 |
$0.00 |
| 3074F |
|
64 |
57 |
$0.00 |
| 3352F |
|
19 |
15 |
$0.00 |
| 1160F |
|
1,564 |
1,347 |
$0.00 |
| 3288F |
|
48 |
41 |
$0.00 |
| 1159F |
|
289 |
259 |
$0.00 |
| 3078F |
|
59 |
52 |
$0.00 |
| 3725F |
|
22 |
19 |
$0.00 |