| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,724 |
2,024 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,560 |
1,845 |
$55K |
| 99401 |
|
2,225 |
1,637 |
$28K |
| 80305 |
|
1,519 |
1,128 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
152 |
105 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
103 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
36 |
26 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
115 |
82 |
$869.53 |
| 99406 |
|
128 |
99 |
$600.49 |
| 0012A |
|
35 |
18 |
$535.02 |
| 0011A |
|
42 |
22 |
$382.70 |
| 94375 |
|
68 |
39 |
$341.57 |
| 99408 |
|
18 |
17 |
$294.98 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
111 |
$150.38 |
| 96127 |
|
97 |
61 |
$97.85 |
| 99490 |
Ccm add 20min |
48 |
44 |
$44.33 |
| 97750 |
|
32 |
13 |
$24.19 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
57 |
$14.93 |
| 99072 |
|
109 |
71 |
$0.00 |
| 3725F |
|
46 |
13 |
$0.00 |
| 3008F |
|
30 |
12 |
$0.00 |