| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,098 |
9,120 |
$471K |
| 99199 |
Unlisted special service, procedure or report |
62,963 |
34,926 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,234 |
1,020 |
$51K |
| 99443 |
|
81 |
73 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
67 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
31 |
$831.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
38 |
$797.55 |
| 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) |
165 |
150 |
$348.81 |
| 90682 |
|
17 |
15 |
$99.92 |
| 90688 |
|
17 |
16 |
$98.10 |
| 99442 |
|
12 |
12 |
$66.98 |
| 96127 |
|
27 |
24 |
$42.67 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
176 |
148 |
$3.53 |
| 1160F |
|
14 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
444 |
365 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| 90686 |
|
21 |
15 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
41 |
32 |
$0.00 |