| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,659 |
2,116 |
$219K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,810 |
1,346 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,113 |
844 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
919 |
677 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
431 |
319 |
$14K |
| 99051 |
|
2,438 |
2,034 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
519 |
373 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
256 |
223 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
333 |
147 |
$3K |
| 99384 |
|
24 |
20 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
113 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
116 |
$1K |
| 90674 |
|
127 |
75 |
$871.61 |
| 0031A |
|
14 |
13 |
$480.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
23 |
$380.25 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$55.52 |
| 99000 |
|
650 |
516 |
$19.06 |
| 85018 |
|
94 |
58 |
$0.00 |
| 91301 |
|
14 |
13 |
$0.00 |
| 91303 |
|
14 |
13 |
$0.00 |
| 99072 |
|
584 |
420 |
$0.00 |
| 81003 |
|
49 |
37 |
$0.00 |