| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,885 |
1,807 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,105 |
877 |
$54K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
195 |
95 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
345 |
290 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
55 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
567 |
234 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
469 |
359 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
27 |
$2K |
| 87631 |
|
18 |
16 |
$2K |
| 87807 |
|
114 |
103 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
29 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
52 |
41 |
$667.04 |
| 99310 |
Prolong nursin fac eval 15m |
22 |
12 |
$363.18 |
| 36415 |
Collection of venous blood by venipuncture |
177 |
105 |
$200.80 |
| 99305 |
|
16 |
16 |
$193.36 |
| 0011A |
|
23 |
13 |
$135.52 |
| 91301 |
|
46 |
25 |
$0.10 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
45 |
40 |
$0.00 |