| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
231 |
154 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
2,920 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,503 |
19,049 |
$0.00 |
| 85018 |
|
3,155 |
3,055 |
$0.00 |
| 87800 |
|
13 |
13 |
$0.00 |
| 81000 |
|
2,688 |
2,437 |
$0.00 |
| 99383 |
|
110 |
110 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
856 |
585 |
$0.00 |
| 99070 |
|
4,880 |
4,415 |
$0.00 |
| 87428 |
|
47 |
47 |
$0.00 |
| 99384 |
|
45 |
45 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
481 |
452 |
$0.00 |
| 82962 |
|
1,092 |
1,023 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
88 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
90 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
482 |
423 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
82 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
61 |
40 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
750 |
709 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,216 |
3,126 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
379 |
365 |
$0.00 |
| 80306 |
|
2,306 |
1,984 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
673 |
663 |
$0.00 |
| 99442 |
|
174 |
159 |
$0.00 |
| 80375 |
|
137 |
103 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
364 |
105 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
192 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
754 |
717 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 99409 |
|
63 |
55 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
76 |
43 |
$0.00 |
| 99201 |
|
30 |
30 |
$0.00 |
| 91321 |
|
41 |
40 |
$0.00 |
| 90756 |
|
154 |
149 |
$0.00 |
| 91322 |
|
204 |
199 |
$0.00 |