| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,033 |
11,047 |
$852K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
734 |
558 |
$71K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,039 |
1,751 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,456 |
1,131 |
$61K |
| 99336 |
|
2,264 |
947 |
$34K |
| 99349 |
|
1,548 |
671 |
$31K |
| 99199 |
Unlisted special service, procedure or report |
7,379 |
7,343 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,162 |
1,047 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,211 |
1,067 |
$15K |
| 99347 |
|
1,025 |
183 |
$8K |
| 99215 |
Prolong outpt/office vis |
159 |
122 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
124 |
83 |
$4K |
| 99348 |
|
73 |
36 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 80305 |
|
124 |
92 |
$955.17 |
| 99384 |
|
12 |
12 |
$919.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
36 |
$263.09 |
| 87420 |
|
24 |
22 |
$242.99 |
| 99335 |
|
53 |
17 |
$203.73 |
| 93922 |
|
24 |
13 |
$155.64 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
60 |
33 |
$6.40 |
| 90661 |
|
31 |
19 |
$0.00 |
| 90756 |
|
17 |
15 |
$0.00 |
| 92551 |
|
35 |
33 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
34 |
$0.00 |
| 99172 |
|
36 |
34 |
$0.00 |
| 90674 |
|
38 |
14 |
$0.00 |