| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,862 |
1,587 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
920 |
$100K |
| 95250 |
|
602 |
567 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
389 |
389 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
363 |
347 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
63 |
$7K |
| 99195 |
|
68 |
68 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
100 |
$1K |
| 95251 |
|
39 |
38 |
$811.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
29 |
$287.53 |
| 81003 |
|
78 |
76 |
$139.97 |
| 96127 |
|
39 |
39 |
$116.22 |
| 99051 |
|
40 |
32 |
$105.00 |
| 96160 |
|
50 |
50 |
$46.08 |
| 96161 |
|
12 |
12 |
$9.60 |