| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,191 |
16,031 |
$820K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,593 |
3,320 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,362 |
1,286 |
$66K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
794 |
715 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
192 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,153 |
1,025 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
978 |
617 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
81 |
52 |
$7K |
| 59025 |
Fetal non-stress test |
288 |
179 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
168 |
160 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,500 |
1,326 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
215 |
150 |
$3K |
| 87428 |
|
95 |
93 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
164 |
119 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
43 |
30 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
402 |
386 |
$2K |
| 95886 |
|
54 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
68 |
$2K |
| 96127 |
|
358 |
342 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
56 |
52 |
$582.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
32 |
$523.85 |
| 93000 |
|
47 |
41 |
$484.66 |
| 87807 |
|
46 |
42 |
$364.78 |
| 99441 |
|
24 |
21 |
$268.80 |
| 90658 |
|
16 |
15 |
$130.40 |
| 99406 |
|
15 |
15 |
$100.43 |
| 81025 |
|
12 |
12 |
$77.15 |