| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,194 |
7,948 |
$604K |
| 99199 |
Unlisted special service, procedure or report |
40,021 |
20,889 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,049 |
1,498 |
$81K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
924 |
592 |
$71K |
| 87428 |
|
448 |
233 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
995 |
668 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
801 |
470 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
5,112 |
3,535 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
153 |
$5K |
| 82962 |
|
3,054 |
1,992 |
$2K |
| 81002 |
|
1,683 |
1,237 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
128 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$872.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
153 |
$827.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$484.92 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
26 |
$371.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
32 |
$363.19 |
| 90686 |
|
24 |
16 |
$158.80 |
| 90674 |
|
20 |
14 |
$36.16 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
12 |
$0.00 |