| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
243 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
31 |
28 |
$4K |
| 76857 |
|
90 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$980.91 |
| 99442 |
|
30 |
30 |
$950.95 |
| 51741 |
|
110 |
106 |
$850.21 |
| 87563 |
|
32 |
29 |
$797.22 |
| 51784 |
|
28 |
26 |
$777.95 |
| 99401 |
|
54 |
54 |
$630.92 |
| 87556 |
|
32 |
29 |
$502.14 |
| 87640 |
|
32 |
29 |
$452.46 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
108 |
99 |
$422.62 |
| 87081 |
|
214 |
209 |
$403.47 |
| 81003 |
|
390 |
362 |
$363.32 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
29 |
$323.24 |
| 87653 |
|
32 |
29 |
$323.24 |
| 87481 |
|
31 |
28 |
$301.60 |
| 51798 |
|
49 |
49 |
$300.62 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$30.02 |