| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,267 |
1,582 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
473 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
94 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
200 |
127 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
118 |
106 |
$850.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$801.45 |
| 99401 |
|
350 |
243 |
$673.14 |
| 99497 |
|
1,102 |
565 |
$491.98 |
| 3044F |
|
179 |
176 |
$60.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
32 |
$18.77 |
| 3075F |
|
426 |
359 |
$0.03 |
| 3008F |
|
1,572 |
1,244 |
$0.03 |
| 4013F |
|
81 |
73 |
$0.03 |
| 1159F |
|
1,202 |
986 |
$0.03 |
| 3079F |
|
601 |
506 |
$0.02 |
| 1126F |
|
976 |
772 |
$0.01 |
| 4010F |
|
82 |
69 |
$0.01 |
| 3049F |
|
14 |
14 |
$0.01 |
| 3078F |
|
926 |
764 |
$0.01 |
| 3074F |
|
1,078 |
878 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
195 |
191 |
$0.00 |
| 1125F |
|
34 |
29 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
128 |
107 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
79 |
48 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 93000 |
|
58 |
57 |
$0.00 |
| 1160F |
|
712 |
573 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
104 |
81 |
$0.00 |
| 99072 |
|
53 |
39 |
$0.00 |
| 0521F |
|
34 |
29 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |