| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,146 |
19,058 |
$2.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,843 |
3,181 |
$260K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
609 |
551 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
509 |
455 |
$14K |
| 99215 |
Prolong outpt/office vis |
43 |
37 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
317 |
144 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
170 |
72 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
56 |
$1K |
| 90688 |
|
29 |
24 |
$810.70 |
| 0004A |
|
17 |
16 |
$715.00 |
| 0072A |
|
12 |
12 |
$600.00 |
| 0064A |
|
17 |
12 |
$390.00 |
| 93000 |
|
14 |
13 |
$382.30 |
| 99306 |
Prolong nursin fac eval 15m |
25 |
13 |
$142.68 |
| 91306 |
|
17 |
12 |
$0.01 |
| 91300 |
|
61 |
59 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
14 |
$0.00 |
| 1111F |
|
2,625 |
2,102 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 1101F |
|
20 |
15 |
$0.00 |