| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
500 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
72 |
57 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$756.20 |
| 99497 |
|
17 |
16 |
$557.37 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
39 |
$547.23 |
| 71046 |
Radiologic examination, chest; 2 views |
40 |
30 |
$414.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$205.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$119.03 |
| 3078F |
|
97 |
85 |
$0.33 |
| 1125F |
|
78 |
65 |
$0.30 |
| 3074F |
|
83 |
74 |
$0.26 |
| 1160F |
|
108 |
92 |
$0.01 |
| 1159F |
|
109 |
93 |
$0.01 |
| 1126F |
|
19 |
18 |
$0.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 1101F |
|
101 |
84 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
22 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |