| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,392 |
3,256 |
$248K |
| 99199 |
Unlisted special service, procedure or report |
9,175 |
5,373 |
$49K |
| 99215 |
Prolong outpt/office vis |
321 |
224 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
40 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
39 |
$2K |
| 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) |
241 |
211 |
$629.62 |
| 0134A |
|
14 |
12 |
$390.00 |
| 99401 |
|
21 |
14 |
$201.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
36 |
$166.98 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
89 |
$152.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$131.22 |
| 3008F |
|
1,496 |
1,227 |
$0.00 |
| 1036F |
|
892 |
707 |
$0.00 |
| 3075F |
|
78 |
74 |
$0.00 |
| 3079F |
|
427 |
373 |
$0.00 |
| 3074F |
|
61 |
56 |
$0.00 |
| 99000 |
|
63 |
41 |
$0.00 |
| 4037F |
|
35 |
29 |
$0.00 |
| 3078F |
|
664 |
557 |
$0.00 |
| 1160F |
|
927 |
716 |
$0.00 |
| 3077F |
|
99 |
80 |
$0.00 |