| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
152 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
32 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
432 |
392 |
$3K |
| 90715 |
|
157 |
149 |
$2K |
| 90710 |
|
86 |
85 |
$2K |
| 90619 |
|
187 |
174 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
27 |
$1K |
| 90696 |
|
54 |
53 |
$1K |
| 90734 |
|
149 |
148 |
$777.39 |
| 90686 |
|
126 |
124 |
$739.62 |
| 90633 |
|
129 |
129 |
$682.92 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
13 |
12 |
$445.20 |
| 90649 |
|
77 |
76 |
$398.93 |
| 87428 |
|
14 |
13 |
$321.75 |
| 90651 |
|
87 |
79 |
$297.85 |
| 90707 |
|
13 |
13 |
$208.65 |
| 90620 |
|
36 |
36 |
$188.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$185.08 |
| 85018 |
|
136 |
123 |
$168.48 |
| 90670 |
|
12 |
12 |
$63.24 |