| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
20,359 |
10,405 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,115 |
1,294 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,030 |
636 |
$40K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
12 |
$455.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
14 |
$401.19 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
14 |
$347.65 |
| 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) |
198 |
168 |
$209.11 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
12 |
$28.40 |
| 3078F |
|
1,095 |
660 |
$0.22 |
| 3074F |
|
1,182 |
701 |
$0.21 |
| 3075F |
|
16 |
12 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
14 |
$0.00 |
| 3079F |
|
22 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |