| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
3,223 |
2,085 |
$206K |
| 99337 |
|
5,423 |
3,473 |
$191K |
| 99349 |
|
1,978 |
1,227 |
$113K |
| 99336 |
|
2,445 |
1,903 |
$103K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,710 |
1,377 |
$44K |
| 99215 |
Prolong outpt/office vis |
454 |
327 |
$22K |
| 99205 |
Prolong outpt/office vis |
176 |
148 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
733 |
599 |
$6K |
| 99406 |
|
909 |
670 |
$5K |
| 99335 |
|
143 |
123 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
96 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
155 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
58 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
104 |
$3K |
| 99348 |
|
69 |
63 |
$2K |
| 99347 |
|
64 |
57 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 99407 |
|
103 |
76 |
$1K |
| 99404 |
|
177 |
147 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
44 |
39 |
$961.86 |
| 99385 |
|
17 |
13 |
$742.94 |
| 0031A |
|
55 |
48 |
$652.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
45 |
$590.42 |
| 99334 |
|
35 |
28 |
$489.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$425.14 |
| 0012A |
|
19 |
17 |
$270.00 |
| 0011A |
|
45 |
23 |
$260.00 |
| 99325 |
|
14 |
14 |
$199.81 |
| 90688 |
|
24 |
16 |
$183.30 |
| 90694 |
|
19 |
16 |
$164.16 |
| 99402 |
|
38 |
28 |
$115.53 |
| 91303 |
|
56 |
48 |
$0.10 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| 99401 |
|
15 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
12 |
$0.00 |
| 99328 |
|
15 |
15 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
18 |
16 |
$0.00 |
| 91301 |
|
73 |
53 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
64 |
61 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
69 |
62 |
$0.00 |