| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,398 |
6,017 |
$530K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,665 |
7,835 |
$498K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,120 |
9,146 |
$88K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
402 |
276 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
158 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
59 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
60 |
$5K |
| 87400 |
|
269 |
188 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$3K |
| 81002 |
|
598 |
482 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
75 |
$1K |
| 81003 |
|
85 |
74 |
$175.91 |
| 90686 |
|
13 |
12 |
$151.69 |
| 3078F |
|
3,840 |
3,041 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
419 |
395 |
$0.00 |
| 3074F |
|
3,580 |
2,835 |
$0.00 |
| 3079F |
|
238 |
182 |
$0.00 |
| 3075F |
|
268 |
209 |
$0.00 |