| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,909 |
3,568 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,923 |
1,477 |
$92K |
| 99215 |
Prolong outpt/office vis |
531 |
458 |
$41K |
| 99199 |
Unlisted special service, procedure or report |
14,374 |
8,256 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
415 |
283 |
$38K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
218 |
126 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
483 |
373 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
55 |
$5K |
| 99457 |
|
322 |
269 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
55 |
$3K |
| 99458 |
|
166 |
116 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
100 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
45 |
$1K |
| 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) |
488 |
390 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
805 |
578 |
$1K |
| 81025 |
|
57 |
52 |
$413.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
24 |
$409.77 |
| 81003 |
|
94 |
73 |
$166.65 |
| 1036F |
|
1,275 |
983 |
$0.00 |
| 1125F |
|
834 |
687 |
$0.00 |
| 3074F |
|
1,498 |
1,225 |
$0.00 |
| 1035F |
|
187 |
117 |
$0.00 |
| 3075F |
|
401 |
353 |
$0.00 |
| 99000 |
|
812 |
550 |
$0.00 |
| 3008F |
|
2,185 |
1,781 |
$0.00 |
| 1034F |
|
1,148 |
892 |
$0.00 |
| 3079F |
|
933 |
793 |
$0.00 |
| 1126F |
|
482 |
407 |
$0.00 |
| 3080F |
|
285 |
246 |
$0.00 |
| 1160F |
|
1,000 |
838 |
$0.00 |
| 3078F |
|
1,160 |
950 |
$0.00 |
| 1159F |
|
999 |
838 |
$0.00 |
| 3077F |
|
508 |
435 |
$0.00 |
| 3725F |
|
32 |
24 |
$0.00 |