| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,417 |
14,550 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,501 |
7,121 |
$666K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
495 |
494 |
$41K |
| 99215 |
Prolong outpt/office vis |
154 |
151 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
154 |
$19K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
58 |
12 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
90 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
139 |
137 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$3K |
| 99441 |
|
73 |
71 |
$3K |
| 93000 |
|
122 |
120 |
$1K |
| 81003 |
|
637 |
606 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
107 |
$431.34 |
| 87428 |
|
14 |
14 |
$259.84 |
| 95117 |
|
12 |
12 |
$100.14 |