| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,160 |
2,601 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
985 |
884 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
774 |
682 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
134 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
161 |
148 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
551 |
528 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
222 |
94 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
79 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
14 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
17 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
150 |
$1K |
| 90686 |
|
96 |
91 |
$704.52 |