| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,280 |
4,333 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
945 |
867 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
180 |
179 |
$11K |
| 81025 |
|
1,247 |
1,160 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
84 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
379 |
360 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
121 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
477 |
460 |
$5K |
| 96127 |
|
1,456 |
1,326 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
131 |
$3K |
| 81002 |
|
1,257 |
1,079 |
$2K |
| 99215 |
Prolong outpt/office vis |
22 |
18 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
25 |
$2K |
| 59430 |
|
17 |
17 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
87 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
575 |
495 |
$991.38 |
| 99385 |
|
12 |
12 |
$884.16 |
| 85018 |
|
290 |
263 |
$648.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
26 |
$547.50 |
| 99406 |
|
83 |
76 |
$443.92 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
46 |
43 |
$308.44 |
| 82962 |
|
113 |
93 |
$232.36 |
| 87210 |
|
26 |
26 |
$114.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
49 |
$7.69 |
| 1159F |
|
61 |
35 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
415 |
370 |
$0.00 |
| 99000 |
|
153 |
128 |
$0.00 |
| 3079F |
|
20 |
14 |
$0.00 |
| 3074F |
|
28 |
20 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$0.00 |