| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,211 |
1,736 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
607 |
545 |
$28K |
| 36410 |
|
417 |
387 |
$3K |
| 99050 |
|
95 |
84 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
28 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
106 |
61 |
$1K |
| 99000 |
|
143 |
127 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
74 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
33 |
$935.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
19 |
19 |
$96.00 |
| 97802 |
|
147 |
143 |
$0.00 |
| 90656 |
|
32 |
31 |
$0.00 |