| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
28,263 |
17,357 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,389 |
3,268 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
452 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
119 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
152 |
51 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
58 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
481 |
314 |
$866.33 |
| 90688 |
|
64 |
26 |
$181.77 |
| 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) |
64 |
58 |
$151.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
33 |
$0.00 |
| 1159F |
|
116 |
112 |
$0.00 |
| 3078F |
|
25 |
24 |
$0.00 |
| 3074F |
|
37 |
36 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |