| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,696 |
3,343 |
$167K |
| 99199 |
Unlisted special service, procedure or report |
16,801 |
10,699 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
575 |
$34K |
| 99215 |
Prolong outpt/office vis |
63 |
53 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
42 |
41 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,031 |
789 |
$832.72 |
| 87428 |
|
17 |
12 |
$635.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
27 |
$324.79 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
12 |
$165.52 |
| 90686 |
|
83 |
64 |
$94.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
13 |
$53.28 |
| 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) |
49 |
40 |
$44.10 |
| 1159F |
|
354 |
306 |
$0.00 |