| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
692 |
$57K |
| 0012A |
|
575 |
575 |
$20K |
| 0011A |
|
602 |
602 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
294 |
256 |
$14K |
| 0001A |
|
328 |
327 |
$11K |
| 0002A |
|
290 |
290 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
155 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
531 |
520 |
$9K |
| 0064A |
|
125 |
125 |
$5K |
| 0031A |
|
114 |
61 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
68 |
66 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
166 |
157 |
$2K |
| 0004A |
|
33 |
33 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 90686 |
|
75 |
75 |
$890.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
38 |
$655.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
113 |
$346.56 |
| 90473 |
|
18 |
18 |
$327.93 |
| 3074F |
|
5,131 |
4,853 |
$0.00 |
| 1034F |
|
1,045 |
955 |
$0.00 |
| 1036F |
|
4,503 |
4,193 |
$0.00 |
| 1125F |
|
517 |
487 |
$0.00 |
| 3008F |
|
8,378 |
7,844 |
$0.00 |
| 4010F |
|
444 |
391 |
$0.00 |
| 3079F |
|
1,217 |
1,167 |
$0.00 |
| 1126F |
|
543 |
522 |
$0.00 |
| 3351F |
|
778 |
777 |
$0.00 |
| 3075F |
|
333 |
322 |
$0.00 |
| 2010F |
|
40 |
40 |
$0.00 |
| 4037F |
|
473 |
473 |
$0.00 |
| 91301 |
|
30 |
30 |
$0.00 |
| 90674 |
|
49 |
49 |
$0.00 |
| 91307 |
|
45 |
42 |
$0.00 |
| 91306 |
|
125 |
125 |
$0.00 |
| 2001F |
|
40 |
40 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 3080F |
|
46 |
44 |
$0.00 |
| 2000F |
|
13 |
13 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 4274F |
|
1,608 |
1,482 |
$0.00 |
| 1160F |
|
7,139 |
6,670 |
$0.00 |
| 1159F |
|
7,138 |
6,669 |
$0.00 |
| 3078F |
|
4,211 |
4,002 |
$0.00 |
| 3077F |
|
63 |
60 |
$0.00 |
| 4040F |
|
63 |
54 |
$0.00 |
| 91300 |
|
249 |
236 |
$0.00 |
| 4004F |
|
221 |
211 |
$0.00 |