| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,703 |
7,538 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,037 |
2,771 |
$122K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,021 |
3,870 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,740 |
1,708 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,172 |
1,608 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,190 |
2,610 |
$63K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,606 |
2,871 |
$45K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
762 |
745 |
$28K |
| 99215 |
Prolong outpt/office vis |
162 |
160 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
150 |
150 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
108 |
$6K |
| 99072 |
|
396 |
365 |
$3K |
| 99000 |
|
654 |
596 |
$2K |
| 94760 |
|
318 |
306 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 0004A |
|
17 |
17 |
$360.00 |
| 0064A |
|
12 |
12 |
$250.00 |
| 93000 |
|
15 |
15 |
$191.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
49 |
$156.89 |
| 81000 |
|
48 |
43 |
$152.58 |
| 36415 |
Collection of venous blood by venipuncture |
528 |
517 |
$100.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$20.97 |
| 81002 |
|
34 |
32 |
$1.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |