| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,567 |
1,498 |
$68K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
752 |
681 |
$33K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
232 |
195 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
257 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
213 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
237 |
221 |
$7K |
| 99345 |
Prolong home eval add 15m |
72 |
53 |
$6K |
| 87428 |
|
93 |
90 |
$6K |
| 96127 |
|
94 |
68 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
70 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
260 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
152 |
148 |
$3K |
| 99350 |
Prolong home eval add 15m |
21 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
39 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 1160F |
|
97 |
70 |
$0.97 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
97 |
70 |
$0.97 |
| 1159F |
|
97 |
70 |
$0.97 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
54 |
$0.74 |
| 1126F |
|
51 |
38 |
$0.51 |
| 1125F |
|
42 |
30 |
$0.42 |
| 3074F |
|
20 |
12 |
$0.20 |