| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,141 |
2,765 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,500 |
2,236 |
$86K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
549 |
529 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
191 |
178 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
603 |
272 |
$9K |
| 90686 |
|
182 |
178 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
113 |
107 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
104 |
49 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
35 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$433.71 |
| 3008F |
|
42 |
40 |
$400.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
15 |
$196.82 |
| 36415 |
Collection of venous blood by venipuncture |
2,643 |
2,358 |
$174.10 |
| 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) |
80 |
80 |
$109.79 |
| 3078F |
|
1,911 |
1,710 |
$0.00 |
| 3050F |
|
17 |
13 |
$0.00 |
| 91300 |
|
17 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
148 |
$0.00 |
| 3074F |
|
2,296 |
2,058 |
$0.00 |
| 3075F |
|
174 |
163 |
$0.00 |
| 3079F |
|
577 |
525 |
$0.00 |
| 3048F |
|
208 |
179 |
$0.00 |
| 4010F |
|
169 |
143 |
$0.00 |
| 3049F |
|
14 |
12 |
$0.00 |