| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,764 |
3,406 |
$250K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
897 |
816 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
286 |
256 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$11K |
| 96127 |
|
556 |
535 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,385 |
1,210 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
385 |
353 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
59 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
18 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 80053 |
Comprehensive metabolic panel |
154 |
143 |
$955.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$780.20 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$439.84 |
| 81001 |
|
89 |
84 |
$236.08 |
| 87807 |
|
12 |
12 |
$156.46 |
| 99000 |
|
324 |
282 |
$3.00 |
| 36416 |
|
15 |
12 |
$0.00 |