| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,324 |
1,194 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
754 |
722 |
$27K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$1K |
| 90688 |
|
86 |
86 |
$420.45 |
| 90658 |
|
46 |
45 |
$397.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$271.38 |
| 0064A |
|
28 |
28 |
$248.10 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$164.22 |
| 0134A |
|
19 |
18 |
$80.00 |
| 93000 |
|
15 |
15 |
$61.44 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
161 |
$19.36 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$17.82 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$0.00 |
| 91306 |
|
27 |
27 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |
| 91313 |
|
19 |
18 |
$0.00 |