| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,634 |
12,811 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,293 |
8,873 |
$522K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,653 |
3,537 |
$237K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,244 |
2,034 |
$196K |
| 99215 |
Prolong outpt/office vis |
1,999 |
1,807 |
$189K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,938 |
1,806 |
$54K |
| 96127 |
|
3,538 |
3,252 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
756 |
524 |
$13K |
| 93000 |
|
980 |
866 |
$9K |
| 99000 |
|
2,844 |
2,547 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
499 |
474 |
$6K |
| 99051 |
|
6,668 |
5,830 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
66 |
$6K |
| 94760 |
|
7,314 |
5,161 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
63 |
$5K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 99385 |
|
29 |
24 |
$1K |
| 99386 |
|
15 |
14 |
$526.56 |
| 90688 |
|
30 |
23 |
$363.30 |
| 90715 |
|
15 |
13 |
$342.92 |
| 81002 |
|
127 |
113 |
$307.84 |
| 99458 |
|
13 |
12 |
$299.01 |
| 99072 |
|
20,400 |
16,843 |
$270.58 |
| 99457 |
|
13 |
12 |
$225.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
61 |
$185.04 |
| 81000 |
|
60 |
50 |
$105.87 |