| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
564 |
563 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,026 |
17,038 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
181 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,585 |
8,262 |
$441.75 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
482 |
460 |
$23.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
434 |
429 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
151 |
149 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,091 |
1,046 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
260 |
$0.00 |
| 90686 |
|
232 |
231 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
90 |
53 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
141 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
197 |
195 |
$0.00 |
| 96127 |
|
32 |
32 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
309 |
303 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 82962 |
|
27 |
25 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$0.00 |
| 0012A |
|
75 |
75 |
$0.00 |
| 0011A |
|
112 |
112 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
23 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
117 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
145 |
$0.00 |
| 81025 |
|
144 |
136 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
62 |
62 |
$0.00 |
| 80061 |
Lipid panel |
141 |
141 |
$0.00 |
| 81002 |
|
100 |
97 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
17 |
$0.00 |