| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,005 |
19,779 |
$1.03M |
| 99497 |
|
1,970 |
1,552 |
$66K |
| 96160 |
|
3,145 |
2,554 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
654 |
540 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
429 |
346 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
418 |
357 |
$25K |
| 93000 |
|
1,693 |
1,341 |
$16K |
| 99173 |
|
3,358 |
2,728 |
$12K |
| 96127 |
|
2,527 |
2,025 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
302 |
249 |
$10K |
| 92551 |
|
2,900 |
2,338 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
193 |
$6K |
| 81003 |
|
4,647 |
3,728 |
$5K |
| 99406 |
|
1,026 |
803 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
196 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
124 |
$4K |
| 99401 |
|
224 |
174 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
89 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
63 |
53 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
160 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
145 |
$2K |
| 99350 |
Prolong home eval add 15m |
53 |
36 |
$1K |
| 99442 |
|
48 |
45 |
$888.95 |
| 3008F |
|
6,126 |
4,667 |
$646.05 |
| 3079F |
|
1,260 |
968 |
$522.00 |
| 3074F |
|
2,262 |
1,778 |
$516.17 |
| 3078F |
|
1,594 |
1,244 |
$453.04 |
| 1170F |
|
298 |
249 |
$250.00 |
| 3075F |
|
531 |
423 |
$243.62 |
| 90688 |
|
19 |
13 |
$102.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$71.25 |
| 1159F |
|
149 |
127 |
$70.00 |
| 1160F |
|
272 |
229 |
$70.00 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
44 |
$64.47 |
| 3077F |
|
164 |
128 |
$42.41 |
| 97802 |
|
21 |
16 |
$36.40 |
| 3080F |
|
122 |
101 |
$20.00 |
| 1125F |
|
781 |
589 |
$0.00 |
| 1126F |
|
745 |
599 |
$0.00 |
| 3044F |
|
118 |
97 |
$0.00 |
| 3048F |
|
120 |
98 |
$0.00 |
| 1111F |
|
115 |
95 |
$0.00 |