| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
795 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
993 |
$96K |
| 99205 |
Prolong outpt/office vis |
401 |
398 |
$76K |
| 99215 |
Prolong outpt/office vis |
278 |
271 |
$47K |
| 0004A |
|
675 |
656 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
260 |
$25K |
| 0012A |
|
431 |
431 |
$17K |
| 0011A |
|
439 |
438 |
$16K |
| 0064A |
|
398 |
395 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
226 |
$14K |
| 0002A |
|
283 |
271 |
$10K |
| 0001A |
|
289 |
261 |
$10K |
| 0072A |
|
229 |
228 |
$9K |
| 0071A |
|
207 |
206 |
$8K |
| 0003A |
|
176 |
176 |
$7K |
| 0124A |
|
178 |
143 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
65 |
$3K |
| 0134A |
|
84 |
84 |
$3K |
| 86328 |
|
61 |
51 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
96 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
34 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$843.27 |
| 0073A |
|
19 |
19 |
$640.00 |
| 0082A |
|
17 |
17 |
$600.00 |
| 0081A |
|
16 |
16 |
$600.00 |
| 0111A |
|
16 |
12 |
$400.00 |
| 0112A |
|
29 |
15 |
$400.00 |
| 0094A |
|
12 |
12 |
$400.00 |
| 91306 |
|
391 |
388 |
$122.19 |
| 36416 |
|
12 |
12 |
$23.46 |
| 91301 |
|
871 |
859 |
$5.12 |
| 91307 |
|
418 |
382 |
$2.53 |
| 91300 |
|
235 |
208 |
$1.51 |
| 91313 |
|
83 |
83 |
$0.00 |
| 91312 |
|
178 |
142 |
$0.00 |
| 91308 |
|
61 |
59 |
$0.00 |