| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,913 |
1,907 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,306 |
1,222 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
340 |
340 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
225 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
248 |
246 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
94 |
93 |
$5K |
| 87430 |
|
118 |
116 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$755.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
48 |
$706.02 |
| 0031A |
|
12 |
12 |
$480.00 |
| 87276 |
|
18 |
18 |
$272.52 |
| 81025 |
|
15 |
15 |
$125.40 |
| 81005 |
|
33 |
32 |
$56.97 |
| 81003 |
|
25 |
25 |
$43.05 |
| 99072 |
|
64 |
64 |
$0.00 |