| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
643 |
433 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
2,979 |
2,550 |
$43K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,039 |
1,178 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
397 |
337 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
195 |
$9K |
| 80053 |
Comprehensive metabolic panel |
41 |
37 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
15 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$830.01 |
| 90662 |
|
30 |
30 |
$726.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$713.98 |
| 0012A |
|
27 |
26 |
$461.24 |
| 0002A |
|
20 |
20 |
$360.03 |
| 0011A |
|
19 |
19 |
$275.34 |
| 0001A |
|
12 |
12 |
$232.97 |
| 0134A |
|
13 |
13 |
$218.40 |
| A9270 |
Non-covered item or service |
46 |
24 |
$20.21 |
| 91313 |
|
12 |
12 |
$0.09 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
262 |
134 |
$0.00 |
| 98940 |
|
24 |
13 |
$0.00 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
18 |
13 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
34 |
30 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
23 |
13 |
$0.00 |