| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,944 |
3,019 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,325 |
3,310 |
$228K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
936 |
652 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
990 |
687 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
933 |
656 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
91 |
$11K |
| 99441 |
|
308 |
253 |
$9K |
| 99442 |
|
160 |
146 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
541 |
460 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
71 |
54 |
$7K |
| 0011A |
|
206 |
193 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,895 |
2,329 |
$6K |
| 0012A |
|
157 |
156 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
111 |
$4K |
| 99215 |
Prolong outpt/office vis |
32 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
32 |
$3K |
| 96127 |
|
319 |
282 |
$2K |
| 99201 |
|
66 |
54 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
102 |
$2K |
| 99000 |
|
2,460 |
1,989 |
$2K |
| 99386 |
|
13 |
13 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
14 |
$840.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
79 |
74 |
$771.35 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
34 |
$729.77 |
| 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 |
18 |
15 |
$297.00 |
| 90688 |
|
33 |
26 |
$288.83 |
| 90686 |
|
16 |
16 |
$269.55 |
| 80061 |
Lipid panel |
95 |
82 |
$118.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
84 |
$107.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
28 |
$81.88 |
| 80053 |
Comprehensive metabolic panel |
113 |
93 |
$51.25 |
| 81002 |
|
65 |
58 |
$6.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
32 |
27 |
$0.00 |
| 90744 |
|
31 |
29 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 90713 |
|
33 |
31 |
$0.00 |