| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,054 |
8,259 |
$448K |
| 99199 |
Unlisted special service, procedure or report |
37,615 |
23,130 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
849 |
577 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,868 |
1,363 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
26 |
19 |
$5K |
| 95251 |
|
270 |
211 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
25 |
$3K |
| 99215 |
Prolong outpt/office vis |
38 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
176 |
158 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
89 |
70 |
$1K |
| 80061 |
Lipid panel |
105 |
94 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
113 |
$962.30 |
| 36415 |
Collection of venous blood by venipuncture |
778 |
546 |
$832.26 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
19 |
$818.67 |
| 82962 |
|
836 |
572 |
$625.97 |
| 90674 |
|
28 |
19 |
$370.76 |
| 84439 |
|
41 |
28 |
$331.74 |
| 1126F |
|
172 |
156 |
$0.00 |
| 3008F |
|
4,734 |
4,044 |
$0.00 |
| 1036F |
|
2,400 |
1,817 |
$0.00 |
| 3074F |
|
1,321 |
1,162 |
$0.00 |
| 1125F |
|
122 |
104 |
$0.00 |
| 3044F |
|
18 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
14 |
$0.00 |
| 1034F |
|
16 |
16 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3078F |
|
1,735 |
1,512 |
$0.00 |
| 1160F |
|
3,741 |
3,173 |
$0.00 |
| 1159F |
|
1,445 |
1,253 |
$0.00 |
| 3045F |
|
21 |
12 |
$0.00 |
| 3725F |
|
1,443 |
1,169 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |