| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,721 |
15,336 |
$1.21M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,512 |
5,188 |
$451K |
| 99215 |
Prolong outpt/office vis |
2,821 |
2,309 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,658 |
4,083 |
$168K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,416 |
1,331 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
301 |
292 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
2,256 |
2,119 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
494 |
403 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
90 |
$4K |
| 81002 |
|
1,552 |
1,438 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
128 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
88 |
$960.55 |
| 81025 |
|
138 |
131 |
$812.08 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$260.15 |
| 99406 |
|
39 |
21 |
$186.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
13 |
$26.46 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
382 |
183 |
$0.00 |