| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,164 |
5,194 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,363 |
5,063 |
$138K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
421 |
327 |
$49K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
248 |
209 |
$22K |
| 95117 |
|
1,468 |
666 |
$19K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
106 |
103 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
421 |
318 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
499 |
426 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
332 |
241 |
$8K |
| 94010 |
|
179 |
168 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
122 |
111 |
$6K |
| 87428 |
|
105 |
78 |
$5K |
| 94664 |
|
303 |
262 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
677 |
504 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
48 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
45 |
$2K |
| 94060 |
|
39 |
38 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
35 |
$2K |
| 71020 |
|
54 |
48 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
53 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
69 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
110 |
$1K |
| 80061 |
Lipid panel |
49 |
37 |
$671.92 |
| 36415 |
Collection of venous blood by venipuncture |
735 |
605 |
$581.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
30 |
$334.62 |
| 90633 |
|
30 |
29 |
$277.24 |
| 90688 |
|
32 |
24 |
$210.17 |
| 90756 |
|
17 |
13 |
$205.11 |
| 82962 |
|
53 |
40 |
$157.32 |
| 81003 |
|
13 |
12 |
$38.40 |
| 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) |
38 |
30 |
$30.53 |
| 3074F |
|
1,101 |
855 |
$0.00 |
| 3079F |
|
73 |
56 |
$0.00 |
| 3075F |
|
17 |
14 |
$0.00 |
| 3078F |
|
1,043 |
808 |
$0.00 |