| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,169 |
1,812 |
$460K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,544 |
4,515 |
$259K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,843 |
2,804 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,455 |
3,211 |
$74K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,623 |
1,694 |
$26K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,450 |
1,449 |
$18K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
123 |
112 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
398 |
139 |
$13K |
| A4267 |
Contraceptive supply, condom, male, each |
1,644 |
1,626 |
$10K |
| 99000 |
|
4,430 |
2,835 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
559 |
556 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
291 |
195 |
$6K |
| 99385 |
|
104 |
104 |
$5K |
| 99386 |
|
86 |
86 |
$4K |
| 81025 |
|
588 |
586 |
$2K |
| 94760 |
|
754 |
715 |
$1K |
| 99442 |
|
309 |
245 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$714.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
76 |
$658.79 |
| 88142 |
|
121 |
121 |
$512.45 |
| 81002 |
|
218 |
212 |
$399.69 |
| 99441 |
|
94 |
85 |
$233.78 |
| 86403 |
|
99 |
99 |
$220.23 |
| 87430 |
|
12 |
12 |
$48.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$17.70 |