| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,633 |
5,026 |
$278K |
| 99199 |
Unlisted special service, procedure or report |
37,448 |
35,851 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,025 |
544 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
85 |
60 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
79 |
$2K |
| 99460 |
|
42 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
128 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
20 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
41 |
$993.61 |
| 90686 |
|
148 |
81 |
$698.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
34 |
$554.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
21 |
$300.92 |
| 90694 |
|
20 |
12 |
$70.64 |
| 90480 |
|
21 |
12 |
$65.00 |
| 1160F |
|
1,359 |
996 |
$50.00 |
| 3008F |
|
1,362 |
1,010 |
$50.00 |
| 3078F |
|
873 |
655 |
$25.00 |
| 3074F |
|
664 |
491 |
$25.00 |
| 3725F |
|
575 |
403 |
$0.00 |
| 3077F |
|
135 |
111 |
$0.00 |
| 3288F |
|
493 |
358 |
$0.00 |
| 1036F |
|
1,137 |
776 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
117 |
69 |
$0.00 |
| 3079F |
|
191 |
148 |
$0.00 |
| 1126F |
|
65 |
50 |
$0.00 |
| 3075F |
|
155 |
121 |
$0.00 |
| 90688 |
|
63 |
40 |
$0.00 |