| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,052 |
1,899 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,698 |
2,417 |
$112K |
| 90686 |
|
392 |
345 |
$6K |
| 93793 |
|
1,040 |
596 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
463 |
289 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
99 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
142 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
70 |
65 |
$957.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
33 |
$885.29 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
15 |
$826.95 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
78 |
76 |
$491.58 |
| 90734 |
|
13 |
13 |
$210.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
141 |
$0.00 |