| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
671 |
499 |
$27K |
| 99350 |
Prolong home eval add 15m |
699 |
452 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,027 |
815 |
$16K |
| 99349 |
|
165 |
156 |
$5K |
| 99000 |
|
73 |
70 |
$171.40 |
| 81002 |
|
210 |
196 |
$131.40 |
| 99454 |
|
179 |
170 |
$16.48 |
| 99423 |
|
673 |
186 |
$0.00 |
| 3078F |
|
1,066 |
947 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
12 |
$0.00 |
| 3074F |
|
1,034 |
927 |
$0.00 |
| 99422 |
|
71 |
28 |
$0.00 |
| A6453 |
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard |
53 |
44 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
79 |
$0.00 |
| 99441 |
|
80 |
51 |
$0.00 |