| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,575 |
4,575 |
$369K |
| 99199 |
Unlisted special service, procedure or report |
44,573 |
27,266 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,504 |
3,905 |
$218K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
848 |
667 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
247 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,676 |
2,591 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
189 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$2K |
| 90686 |
|
271 |
170 |
$867.14 |
| 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) |
193 |
164 |
$398.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
16 |
$282.60 |
| 81002 |
|
90 |
66 |
$117.32 |
| 1160F |
|
63 |
63 |
$0.00 |
| 1159F |
|
64 |
64 |
$0.00 |
| 3008F |
|
430 |
340 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
65 |
$0.00 |
| 1170F |
|
37 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
28 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |