| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,646 |
11,785 |
$900K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,990 |
2,568 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,161 |
895 |
$48K |
| 87428 |
|
430 |
391 |
$24K |
| 99215 |
Prolong outpt/office vis |
139 |
102 |
$8K |
| 85027 |
|
72 |
64 |
$517.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
30 |
$428.23 |
| 90686 |
|
51 |
30 |
$426.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
65 |
$407.10 |
| 81002 |
|
83 |
70 |
$225.16 |
| Q3014 |
Telehealth originating site facility fee |
62 |
52 |
$199.93 |
| 36415 |
Collection of venous blood by venipuncture |
559 |
495 |
$96.00 |
| 99497 |
|
12 |
12 |
$60.00 |
| 3078F |
|
4,790 |
4,242 |
$56.09 |
| 3074F |
|
4,600 |
4,018 |
$30.39 |
| 1126F |
|
3,757 |
3,421 |
$2.95 |
| 3008F |
|
7,446 |
6,545 |
$2.80 |
| 1125F |
|
2,023 |
1,819 |
$1.30 |
| 3079F |
|
103 |
89 |
$0.18 |
| 1160F |
|
2,923 |
2,546 |
$0.00 |
| 1159F |
|
1,569 |
1,404 |
$0.00 |
| 1032F |
|
13 |
12 |
$0.00 |
| 1031F |
|
594 |
526 |
$0.00 |
| 1036F |
|
2,152 |
1,929 |
$0.00 |
| 1034F |
|
175 |
163 |
$0.00 |
| 99443 |
|
53 |
50 |
$0.00 |
| 3075F |
|
17 |
14 |
$0.00 |