| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
29,329 |
16,418 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,935 |
1,274 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
658 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
113 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
93 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
158 |
105 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
51 |
$1K |
| 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) |
284 |
247 |
$833.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
50 |
$688.37 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
80 |
$226.80 |
| 81003 |
|
41 |
28 |
$58.99 |
| 3008F |
|
31 |
29 |
$0.00 |
| 3074F |
|
17 |
15 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |