| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,116 |
1,748 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,044 |
2,383 |
$81K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
673 |
570 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,315 |
843 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
57 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
140 |
108 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
88 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
142 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$732.12 |
| 90688 |
|
38 |
36 |
$403.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
25 |
$180.00 |
| 90734 |
|
14 |
13 |
$170.82 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$39.00 |