| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,384 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
793 |
$62K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,161 |
1,099 |
$47K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,020 |
723 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
384 |
372 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
622 |
608 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
795 |
766 |
$24K |
| 99310 |
Prolong nursin fac eval 15m |
350 |
289 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
582 |
559 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
113 |
95 |
$3K |
| 81025 |
|
554 |
508 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$2K |
| 81002 |
|
516 |
470 |
$1K |
| 87807 |
|
78 |
74 |
$778.62 |
| 99306 |
Prolong nursin fac eval 15m |
18 |
15 |
$329.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$284.87 |
| 99491 |
Ccm add 20min |
14 |
14 |
$201.32 |
| 99437 |
|
14 |
14 |
$141.54 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
37 |
$0.00 |