| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,035 |
911 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
1,068 |
$27K |
| 99337 |
|
556 |
444 |
$15K |
| 99335 |
|
305 |
247 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
135 |
118 |
$4K |
| 99215 |
Prolong outpt/office vis |
60 |
56 |
$2K |
| 99348 |
|
43 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
16 |
$942.40 |
| 99328 |
|
35 |
34 |
$865.76 |
| 99336 |
|
16 |
14 |
$795.97 |
| 99000 |
|
141 |
131 |
$768.89 |
| 90674 |
|
21 |
21 |
$209.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$161.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$123.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 99491 |
Ccm add 20min |
27 |
27 |
$0.00 |