| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,555 |
3,948 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,406 |
1,401 |
$79K |
| 59425 |
|
1,448 |
877 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
871 |
759 |
$31K |
| Z1034 |
|
514 |
281 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
367 |
$16K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
210 |
123 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
435 |
430 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
175 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
46 |
38 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$2K |
| 81025 |
|
736 |
704 |
$1K |
| 99000 |
|
469 |
430 |
$877.26 |
| 59430 |
|
13 |
12 |
$699.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
15 |
$286.84 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
21 |
18 |
$140.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
22 |
$74.19 |
| 99072 |
|
367 |
297 |
$64.16 |
| 3351F |
|
15 |
15 |
$0.00 |
| 99001 |
|
226 |
202 |
$0.00 |