| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,197 |
1,960 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
687 |
665 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
736 |
701 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
388 |
372 |
$10K |
| 99443 |
|
166 |
154 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
111 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
185 |
155 |
$3K |
| 97802 |
|
446 |
435 |
$2K |
| 99397 |
|
24 |
24 |
$2K |
| 90674 |
|
52 |
52 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
142 |
123 |
$868.98 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$840.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
16 |
$513.10 |
| 96116 |
|
12 |
12 |
$507.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$410.55 |
| 99441 |
|
35 |
28 |
$389.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
133 |
$381.43 |
| 99442 |
|
12 |
12 |
$284.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$251.37 |
| 99051 |
|
29 |
29 |
$196.00 |
| 99401 |
|
472 |
461 |
$75.00 |
| 81003 |
|
68 |
64 |
$10.56 |
| 36415 |
Collection of venous blood by venipuncture |
873 |
844 |
$2.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
402 |
402 |
$0.01 |
| 3008F |
|
286 |
284 |
$0.00 |
| 96127 |
|
246 |
245 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 36416 |
|
16 |
16 |
$0.00 |
| 81002 |
|
270 |
268 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
493 |
487 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
119 |
$0.00 |
| 0521F |
|
12 |
12 |
$0.00 |