| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,190 |
5,177 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,326 |
2,884 |
$95K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,840 |
1,531 |
$28K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
277 |
222 |
$11K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
101 |
88 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
472 |
342 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
879 |
825 |
$3K |
| 90688 |
|
63 |
59 |
$966.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$733.33 |
| 90682 |
|
16 |
15 |
$555.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
36 |
$463.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
105 |
$170.50 |
| G0008 |
Administration of influenza virus vaccine |
46 |
46 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |