| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,743 |
8,903 |
$929K |
| 99215 |
Prolong outpt/office vis |
2,107 |
2,017 |
$300K |
| 99205 |
Prolong outpt/office vis |
851 |
851 |
$158K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
573 |
573 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
427 |
376 |
$37K |
| 80305 |
|
2,971 |
2,670 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
335 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
138 |
132 |
$5K |
| 99386 |
|
33 |
33 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
125 |
$4K |
| 0001A |
|
91 |
91 |
$3K |
| 0002A |
|
76 |
75 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 0003A |
|
30 |
30 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$644.32 |
| 0064A |
|
13 |
13 |
$480.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$354.24 |
| 87807 |
|
20 |
19 |
$233.00 |
| 99490 |
Ccm add 20min |
27 |
27 |
$171.24 |