| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,980 |
1,375 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,737 |
1,339 |
$47K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
809 |
704 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,439 |
679 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,002 |
1,623 |
$9K |
| S8301 |
Infection control supplies, not otherwise specified |
372 |
315 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
799 |
702 |
$8K |
| 99000 |
|
608 |
525 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
334 |
264 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 85018 |
|
1,592 |
1,291 |
$759.87 |
| 81002 |
|
48 |
40 |
$79.85 |
| 96160 |
|
13 |
12 |
$9.32 |
| 36415 |
Collection of venous blood by venipuncture |
551 |
486 |
$0.00 |
| 36416 |
|
498 |
432 |
$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) |
119 |
91 |
$0.00 |