| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,462 |
6,370 |
$706K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,491 |
3,034 |
$488K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
182 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
209 |
202 |
$3K |
| 87428 |
|
47 |
45 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
340 |
284 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$270.00 |
| 90651 |
|
16 |
16 |
$193.20 |
| 90686 |
|
16 |
16 |
$169.51 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
12 |
$147.41 |
| 81003 |
|
16 |
13 |
$75.31 |
| 85018 |
|
36 |
26 |
$49.91 |