| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,426 |
4,045 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,060 |
4,603 |
$216K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
667 |
575 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,100 |
936 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
253 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
63 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53 |
52 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
84 |
77 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
29 |
12 |
$2K |
| 82962 |
|
1,017 |
886 |
$1K |
| D0330 |
Panoramic radiographic image |
29 |
25 |
$1K |
| 99201 |
|
38 |
35 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,757 |
4,242 |
$749.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$434.19 |
| 96127 |
|
120 |
108 |
$243.11 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
25 |
$189.02 |
| 90686 |
|
30 |
25 |
$133.21 |
| 81002 |
|
58 |
55 |
$132.41 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$93.03 |
| D0274 |
Bitewings - four radiographic images |
15 |
12 |
$29.54 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 36416 |
|
987 |
841 |
$0.00 |
| 99000 |
|
396 |
319 |
$0.00 |
| 99441 |
|
183 |
102 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
15 |
15 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
145 |
128 |
$0.00 |