| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99337 |
|
4,159 |
2,012 |
$138K |
| 99336 |
|
1,350 |
917 |
$32K |
| 99401 |
|
332 |
242 |
$8K |
| 96160 |
|
255 |
192 |
$3K |
| 99406 |
|
844 |
642 |
$3K |
| 99335 |
|
154 |
121 |
$2K |
| 82947 |
|
1,224 |
592 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
21 |
$576.89 |
| 90674 |
|
53 |
52 |
$315.49 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$246.15 |
| 90756 |
|
31 |
31 |
$241.58 |
| 36415 |
Collection of venous blood by venipuncture |
260 |
229 |
$163.91 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
19 |
$136.91 |
| 99324 |
|
19 |
19 |
$80.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$70.27 |
| 11719 |
|
129 |
104 |
$4.32 |
| 86580 |
|
20 |
14 |
$3.68 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
19 |
17 |
$0.00 |
| 3077F |
|
59 |
36 |
$0.00 |
| 3078F |
|
81 |
52 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
22 |
15 |
$0.00 |
| 3079F |
|
56 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
59 |
$0.00 |
| 3075F |
|
39 |
33 |
$0.00 |
| 3074F |
|
99 |
63 |
$0.00 |
| 3008F |
|
27 |
16 |
$0.00 |
| 3080F |
|
39 |
26 |
$0.00 |
| 4000F |
|
69 |
37 |
$0.00 |