| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,299 |
1,641 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,595 |
1,227 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
190 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
212 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
101 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
401 |
280 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
47 |
27 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
67 |
51 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
55 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
324 |
218 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
47 |
26 |
$1K |
| 80053 |
Comprehensive metabolic panel |
105 |
84 |
$779.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
14 |
$671.11 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22 |
12 |
$610.10 |
| 80061 |
Lipid panel |
50 |
45 |
$501.86 |
| 87807 |
|
22 |
20 |
$273.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
205 |
157 |
$264.00 |
| 93000 |
|
15 |
12 |
$88.48 |
| 36415 |
Collection of venous blood by venipuncture |
421 |
289 |
$81.00 |
| 92551 |
|
29 |
27 |
$55.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$41.61 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
50 |
28 |
$3.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
38 |
$0.39 |
| 1159F |
|
4,139 |
2,940 |
$0.01 |
| 3078F |
|
1,517 |
1,047 |
$0.01 |
| 3074F |
|
1,513 |
1,069 |
$0.01 |
| 99173 |
|
14 |
13 |
$0.00 |
| 1160F |
|
326 |
267 |
$0.00 |
| 3077F |
|
38 |
29 |
$0.00 |
| 1126F |
|
512 |
356 |
$0.00 |
| 3008F |
|
234 |
175 |
$0.00 |
| 3079F |
|
129 |
95 |
$0.00 |
| 3075F |
|
42 |
30 |
$0.00 |