| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,905 |
1,817 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,916 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
486 |
463 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
202 |
$20K |
| 64483 |
|
49 |
48 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
236 |
$9K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
190 |
179 |
$3K |
| 62323 |
|
16 |
14 |
$3K |
| 96127 |
|
702 |
669 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$550.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
12 |
$12.00 |
| 99024 |
|
974 |
916 |
$0.00 |
| 99000 |
|
27 |
27 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
77 |
42 |
$0.00 |