| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
357 |
282 |
$5K |
| 59425 |
|
256 |
176 |
$3K |
| 98940 |
|
76 |
74 |
$743.25 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$578.39 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
34 |
28 |
$288.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$177.57 |
| 81002 |
|
250 |
195 |
$120.40 |
| 99000 |
|
18 |
18 |
$63.92 |
| 3074F |
|
294 |
226 |
$5.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
43 |
$0.37 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
48 |
46 |
$0.18 |
| 3078F |
|
221 |
170 |
$0.05 |
| 0502F |
|
219 |
151 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
17 |
17 |
$0.00 |
| 1160F |
|
18 |
14 |
$0.00 |
| 1125F |
|
29 |
29 |
$0.00 |
| 1126F |
|
107 |
84 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |