| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,719 |
15,003 |
$1.95M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,983 |
11,580 |
$1.53M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
9,669 |
9,641 |
$966K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,202 |
4,475 |
$604K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,431 |
3,418 |
$386K |
| 99442 |
|
1,271 |
1,128 |
$118K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,140 |
2,307 |
$93K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,185 |
3,747 |
$83K |
| 0011A |
|
323 |
319 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
228 |
$27K |
| 0012A |
|
247 |
245 |
$22K |
| 99000 |
|
8,421 |
7,434 |
$21K |
| 0013A |
|
96 |
96 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
261 |
$7K |
| 99201 |
|
50 |
48 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
952 |
812 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,279 |
1,245 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
44 |
$4K |
| 90688 |
|
124 |
124 |
$4K |
| 90686 |
|
133 |
133 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
610 |
599 |
$1K |
| 0072A |
|
14 |
14 |
$560.00 |
| 91307 |
|
14 |
14 |
$440.00 |
| 94760 |
|
37 |
36 |
$157.38 |
| 81002 |
|
26 |
26 |
$23.05 |
| 81003 |
|
31 |
29 |
$10.00 |
| 81025 |
|
37 |
36 |
$4.00 |
| 1033F |
|
24 |
24 |
$0.00 |
| 2010F |
|
1,442 |
1,372 |
$0.00 |
| 0001F |
|
46 |
46 |
$0.00 |
| 3008F |
|
77 |
72 |
$0.00 |
| 91301 |
|
18 |
17 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |