| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,744 |
9,310 |
$495K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,380 |
6,771 |
$194K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,323 |
2,536 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,443 |
1,153 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,118 |
1,203 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
188 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,773 |
1,320 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
140 |
120 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
18 |
$2K |
| 93000 |
|
15 |
13 |
$233.94 |
| 81025 |
|
58 |
34 |
$207.69 |
| 81003 |
|
259 |
158 |
$61.03 |
| 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) |
976 |
844 |
$45.33 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
17 |
12 |
$16.00 |
| 99072 |
|
652 |
550 |
$0.00 |