| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,703 |
5,830 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,619 |
2,344 |
$109K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,011 |
882 |
$45K |
| 94010 |
|
1,295 |
1,215 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
898 |
810 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,453 |
1,304 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,327 |
643 |
$16K |
| 93000 |
|
1,123 |
1,037 |
$11K |
| 99215 |
Prolong outpt/office vis |
183 |
168 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
123 |
121 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
333 |
$5K |
| 90674 |
|
121 |
111 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 90756 |
|
156 |
132 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$994.90 |
| 99406 |
|
453 |
355 |
$915.59 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$675.62 |
| 92557 |
|
13 |
12 |
$425.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$376.62 |
| 92551 |
|
47 |
46 |
$372.15 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
13 |
$278.52 |
| 99484 |
|
478 |
281 |
$237.13 |
| 99173 |
|
60 |
58 |
$108.00 |
| 99490 |
Ccm add 20min |
292 |
133 |
$35.04 |
| G0008 |
Administration of influenza virus vaccine |
39 |
32 |
$0.00 |