| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,090 |
3,773 |
$332K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,805 |
3,348 |
$207K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,483 |
1,293 |
$23K |
| 96127 |
|
2,839 |
2,260 |
$13K |
| 99443 |
|
120 |
118 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
55 |
$6K |
| 99442 |
|
115 |
113 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
319 |
256 |
$1K |
| 0001A |
|
16 |
16 |
$640.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$517.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$394.20 |
| 81002 |
|
90 |
62 |
$233.84 |
| 99406 |
|
16 |
14 |
$131.71 |