| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,190 |
4,165 |
$355K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,644 |
2,942 |
$195K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
243 |
194 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
33 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| 93000 |
|
310 |
250 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
109 |
89 |
$2K |
| 96127 |
|
86 |
77 |
$1K |
| 90686 |
|
106 |
86 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
14 |
12 |
$708.16 |
| 99327 |
|
12 |
12 |
$459.14 |
| 99336 |
|
18 |
12 |
$394.75 |
| 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) |
85 |
79 |
$126.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
41 |
$0.00 |