| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,456 |
1,220 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
1,071 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
404 |
404 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
640 |
640 |
$12K |
| 99385 |
|
179 |
178 |
$9K |
| 86703 |
|
343 |
342 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,557 |
1,439 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
257 |
256 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
17 |
$2K |
| 99051 |
|
1,132 |
1,026 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
62 |
60 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
205 |
204 |
$743.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
29 |
$367.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
83 |
$341.09 |
| 81025 |
|
88 |
85 |
$338.28 |
| 82947 |
|
88 |
87 |
$142.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
78 |
$125.34 |
| 81000 |
|
135 |
131 |
$119.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$74.08 |
| 82803 |
|
56 |
55 |
$56.34 |
| 80061 |
Lipid panel |
30 |
30 |
$38.56 |
| 84295 |
|
56 |
55 |
$20.00 |
| 82435 |
|
56 |
55 |
$19.16 |
| 84132 |
|
56 |
55 |
$10.26 |
| 85014 |
|
31 |
30 |
$0.00 |