| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,101 |
12,012 |
$610K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,350 |
6,344 |
$443K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,646 |
3,351 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
914 |
912 |
$53K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
959 |
903 |
$13K |
| 99215 |
Prolong outpt/office vis |
159 |
150 |
$9K |
| 99205 |
Prolong outpt/office vis |
42 |
42 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
27 |
$1K |
| S9083 |
Global fee urgent care centers |
21 |
15 |
$357.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,917 |
1,861 |
$142.63 |
| 73130 |
|
14 |
12 |
$92.37 |
| 81015 |
|
691 |
662 |
$36.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
136 |
$18.56 |
| 81025 |
|
109 |
109 |
$0.00 |
| 81002 |
|
192 |
179 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$0.00 |