| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,327 |
3,602 |
$394K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,301 |
1,807 |
$165K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
516 |
377 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
745 |
535 |
$11K |
| 99215 |
Prolong outpt/office vis |
77 |
68 |
$11K |
| 99072 |
|
1,433 |
1,081 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
35 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
37 |
$2K |
| 86328 |
|
51 |
48 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
37 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
21 |
$1K |
| 90674 |
|
59 |
55 |
$1K |
| 93000 |
|
64 |
56 |
$745.92 |
| 93922 |
|
15 |
12 |
$713.43 |
| 80061 |
Lipid panel |
13 |
13 |
$157.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$123.89 |
| 84439 |
|
12 |
12 |
$106.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
25 |
$88.77 |
| 3074F |
|
60 |
55 |
$85.00 |
| 81002 |
|
51 |
42 |
$50.46 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$31.07 |
| 3078F |
|
29 |
26 |
$17.50 |
| 3079F |
|
26 |
26 |
$17.50 |
| 3077F |
|
52 |
50 |
$10.00 |
| 3080F |
|
29 |
27 |
$10.00 |
| 99000 |
|
276 |
211 |
$4.14 |