| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,006 |
894 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
100 |
92 |
$4K |
| 0001A |
|
165 |
152 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
113 |
$3K |
| 0002A |
|
130 |
115 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
80 |
$985.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
18 |
$496.14 |
| 87430 |
|
33 |
25 |
$381.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$340.11 |
| 0012A |
|
13 |
13 |
$270.00 |
| 0011A |
|
16 |
15 |
$232.00 |
| 99000 |
|
45 |
44 |
$160.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
166 |
151 |
$27.17 |
| 80053 |
Comprehensive metabolic panel |
160 |
141 |
$18.43 |
| 36415 |
Collection of venous blood by venipuncture |
776 |
700 |
$15.75 |
| 80061 |
Lipid panel |
18 |
12 |
$5.58 |
| 99497 |
|
16 |
13 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |