| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
57 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$2K |
| 0003A |
|
54 |
54 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
27 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
17 |
$595.78 |
| 97802 |
|
25 |
24 |
$466.44 |
| 99401 |
|
12 |
12 |
$372.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$288.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$237.96 |
| 90686 |
|
43 |
42 |
$231.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$107.03 |
| 99051 |
|
21 |
19 |
$44.78 |
| 91300 |
|
48 |
48 |
$0.12 |
| 99000 |
|
77 |
60 |
$0.00 |
| 1000F |
|
25 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |