| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
1,714 |
1,129 |
$40K |
| 99439 |
|
2,488 |
1,722 |
$14K |
| 99490 |
Ccm add 20min |
2,567 |
1,778 |
$9K |
| 99350 |
Prolong home eval add 15m |
211 |
129 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
635 |
289 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
107 |
$5K |
| 99348 |
|
228 |
175 |
$4K |
| 99215 |
Prolong outpt/office vis |
68 |
28 |
$3K |
| 99344 |
|
40 |
37 |
$3K |
| 99454 |
|
812 |
771 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
70 |
41 |
$1K |
| 99336 |
|
176 |
115 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
32 |
$1K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
72 |
40 |
$835.56 |
| 99457 |
|
890 |
845 |
$672.71 |
| 99458 |
|
19 |
14 |
$297.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
316 |
135 |
$142.22 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
133 |
$135.91 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
30 |
$100.00 |
| 0003A |
|
101 |
58 |
$96.00 |
| 99334 |
|
15 |
13 |
$91.16 |
| G0008 |
Administration of influenza virus vaccine |
40 |
28 |
$7.25 |
| 99453 |
|
96 |
93 |
$0.00 |
| 90662 |
|
24 |
16 |
$0.00 |
| 99337 |
|
105 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
23 |
15 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
42 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
16 |
$0.00 |
| 99335 |
|
58 |
15 |
$0.00 |