| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,898 |
3,119 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,704 |
3,361 |
$232K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
795 |
549 |
$29K |
| 87428 |
|
398 |
353 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,028 |
838 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
106 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
55 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
155 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
145 |
122 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
42 |
$5K |
| 90686 |
|
116 |
77 |
$953.61 |
| 87807 |
|
77 |
62 |
$774.70 |
| 90656 |
|
14 |
14 |
$236.28 |
| 90670 |
|
25 |
14 |
$167.74 |
| 90648 |
|
25 |
14 |
$167.74 |
| 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) |
13 |
13 |
$26.25 |