| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,398 |
1,165 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
770 |
$83K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
572 |
481 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
122 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
169 |
151 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
28 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
250 |
239 |
$2K |
| 90686 |
|
115 |
92 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
134 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$1K |
| 90674 |
|
54 |
52 |
$808.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
17 |
$738.14 |
| 90715 |
|
26 |
20 |
$534.99 |
| 90756 |
|
14 |
14 |
$296.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
15 |
$265.84 |
| 99459 |
|
20 |
14 |
$228.96 |
| 81002 |
|
76 |
66 |
$105.67 |
| 81025 |
|
37 |
30 |
$75.24 |
| 87210 |
|
12 |
12 |
$41.67 |