| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,640 |
4,148 |
$309K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,353 |
4,192 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,186 |
2,034 |
$110K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,391 |
1,282 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
200 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
359 |
326 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
57 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
52 |
$404.56 |
| 81002 |
|
95 |
88 |
$178.56 |
| 87807 |
|
19 |
19 |
$173.60 |
| 81003 |
|
106 |
106 |
$149.98 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
480 |
443 |
$0.06 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
25 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
334 |
256 |
$0.00 |
| 99050 |
|
24 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
933 |
761 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
70 |
66 |
$0.00 |
| 99051 |
|
27 |
13 |
$0.00 |