| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,392 |
1,034 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
357 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
196 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
380 |
315 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
161 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,212 |
929 |
$10K |
| 99215 |
Prolong outpt/office vis |
72 |
60 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
683 |
339 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
85 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
446 |
375 |
$5K |
| 90700 |
|
266 |
147 |
$2K |
| 92551 |
|
438 |
323 |
$2K |
| 99173 |
|
438 |
320 |
$2K |
| 90713 |
|
78 |
67 |
$1K |
| 90670 |
|
66 |
57 |
$943.18 |
| 90648 |
|
63 |
54 |
$915.39 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
12 |
$840.00 |
| 87807 |
|
70 |
68 |
$759.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
29 |
$738.36 |
| 90651 |
|
17 |
17 |
$336.43 |
| 92567 |
|
31 |
20 |
$303.40 |
| 90734 |
|
13 |
13 |
$257.27 |
| 36416 |
|
281 |
143 |
$42.50 |
| 81002 |
|
13 |
13 |
$39.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
84 |
31 |
$0.00 |