| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,185 |
8,770 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,372 |
2,646 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,079 |
1,640 |
$80K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,808 |
4,155 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
935 |
689 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
473 |
392 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
570 |
462 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,379 |
1,998 |
$7K |
| 99201 |
|
302 |
265 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
380 |
$5K |
| 86769 |
|
307 |
266 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
94 |
$3K |
| 80305 |
|
363 |
322 |
$2K |
| 86580 |
|
351 |
329 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
87 |
$966.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
74 |
$914.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
42 |
$441.04 |
| 90688 |
|
27 |
26 |
$391.04 |
| 90658 |
|
53 |
30 |
$331.18 |
| 99408 |
|
130 |
98 |
$213.14 |
| 99406 |
|
87 |
62 |
$195.73 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
18 |
14 |
$10.58 |
| 3078F |
|
75 |
68 |
$0.00 |
| 1159F |
|
175 |
153 |
$0.00 |
| 1160F |
|
170 |
150 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
73 |
66 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3074F |
|
101 |
89 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
40 |
$0.00 |
| 1126F |
|
22 |
21 |
$0.00 |