| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,750 |
12,834 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,880 |
7,281 |
$512K |
| 99199 |
Unlisted special service, procedure or report |
15,756 |
15,274 |
$66K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,352 |
2,929 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
758 |
342 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
6,641 |
5,412 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,102 |
900 |
$8K |
| 82962 |
|
6,106 |
5,129 |
$8K |
| 90686 |
|
788 |
640 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
196 |
161 |
$5K |
| 99215 |
Prolong outpt/office vis |
75 |
66 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
180 |
64 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
36 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
81 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
17 |
$610.08 |
| 90656 |
|
54 |
51 |
$586.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
39 |
$459.93 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
18 |
$428.66 |
| 93000 |
|
50 |
40 |
$355.00 |
| 81003 |
|
134 |
107 |
$186.07 |
| 81002 |
|
46 |
38 |
$83.18 |
| 82948 |
|
63 |
56 |
$54.74 |
| 3077F |
|
302 |
284 |
$0.00 |
| 3078F |
|
382 |
373 |
$0.00 |
| 90662 |
|
16 |
13 |
$0.00 |
| 91300 |
|
20 |
12 |
$0.00 |
| 3074F |
|
258 |
251 |
$0.00 |
| 3079F |
|
351 |
340 |
$0.00 |
| 3044F |
|
193 |
184 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 3075F |
|
67 |
66 |
$0.00 |
| 91305 |
|
40 |
14 |
$0.00 |