| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,490 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,637 |
2,314 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
289 |
271 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
248 |
$21K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
204 |
204 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
199 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
139 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99401 |
|
14 |
14 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
25 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
661 |
619 |
$550.84 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
20 |
$437.58 |
| 0001A |
|
14 |
14 |
$364.14 |
| 90686 |
|
77 |
60 |
$237.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
468 |
381 |
$177.24 |
| 90700 |
|
54 |
52 |
$57.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$0.00 |
| 90648 |
|
19 |
19 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 81003 |
|
16 |
13 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |