| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,051 |
3,440 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
470 |
401 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
161 |
$15K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
67 |
54 |
$5K |
| 3074F |
|
828 |
744 |
$300.00 |
| 3075F |
|
13 |
13 |
$75.00 |
| 3077F |
|
28 |
26 |
$15.00 |
| 3078F |
|
602 |
548 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
15 |
$0.00 |
| 3079F |
|
136 |
129 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99000 |
|
14 |
12 |
$0.00 |