| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,027 |
1,870 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,140 |
1,945 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,356 |
2,056 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,293 |
1,192 |
$84K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,981 |
5,266 |
$29K |
| 87428 |
|
839 |
719 |
$28K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
290 |
245 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
298 |
81 |
$12K |
| 99051 |
|
805 |
788 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
102 |
89 |
$7K |
| 87430 |
|
440 |
423 |
$6K |
| 90962 |
|
77 |
67 |
$4K |
| 90961 |
|
57 |
46 |
$3K |
| 87650 |
|
234 |
205 |
$3K |
| 87420 |
|
227 |
207 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
85 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
34 |
$794.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
200 |
167 |
$714.69 |
| 81002 |
|
238 |
220 |
$532.36 |
| 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) |
420 |
303 |
$381.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
42 |
$215.01 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
25 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |