| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,481 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
797 |
687 |
$30K |
| T1015 |
Clinic visit/encounter, all-inclusive |
252 |
128 |
$8K |
| 93923 |
|
42 |
23 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
29 |
$1K |
| 80305 |
|
176 |
109 |
$727.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
82 |
$723.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$649.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$440.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$126.00 |
| 81003 |
|
71 |
62 |
$53.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
14 |
$49.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
30 |
$25.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$22.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
25 |
$8.28 |
| 3078F |
|
56 |
30 |
$0.00 |
| 1160F |
|
160 |
111 |
$0.00 |
| 95923 |
|
28 |
23 |
$0.00 |
| 95921 |
|
28 |
23 |
$0.00 |
| 3074F |
|
48 |
31 |
$0.00 |
| 3008F |
|
159 |
107 |
$0.00 |
| 1036F |
|
105 |
69 |
$0.00 |