| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
16,998 |
9,445 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,866 |
1,326 |
$92K |
| 99215 |
Prolong outpt/office vis |
506 |
393 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
197 |
$8K |
| 93923 |
|
22 |
18 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
106 |
$2K |
| 95923 |
|
19 |
16 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
13 |
$744.84 |
| 95921 |
|
18 |
15 |
$635.14 |
| 99401 |
|
35 |
12 |
$399.24 |
| 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) |
118 |
94 |
$165.48 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
184 |
132 |
$0.00 |