| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,084 |
952 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,266 |
865 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
571 |
447 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
164 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
370 |
272 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
234 |
160 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
38 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
25 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$909.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
25 |
$768.77 |
| 96160 |
|
154 |
120 |
$327.69 |
| 11721 |
|
13 |
12 |
$290.04 |
| 82962 |
|
98 |
90 |
$168.21 |
| 99441 |
|
21 |
15 |
$134.42 |
| 3077F |
|
344 |
235 |
$0.00 |
| 3078F |
|
955 |
654 |
$0.00 |
| 3074F |
|
1,278 |
847 |
$0.00 |
| 3080F |
|
254 |
180 |
$0.00 |
| 3079F |
|
715 |
487 |
$0.00 |
| 3075F |
|
340 |
240 |
$0.00 |