| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
302 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
341 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
140 |
$11K |
| 0001A |
|
269 |
250 |
$9K |
| 0002A |
|
179 |
164 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
99 |
$5K |
| 0071A |
|
127 |
127 |
$5K |
| 0003A |
|
99 |
98 |
$4K |
| 0072A |
|
71 |
70 |
$3K |
| 92558 |
|
71 |
70 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 83655 |
|
77 |
77 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
46 |
38 |
$623.96 |
| 92551 |
|
23 |
23 |
$346.50 |
| 85018 |
|
90 |
89 |
$249.00 |
| 36416 |
|
111 |
106 |
$247.50 |
| 85014 |
|
83 |
82 |
$241.42 |
| 3074F |
|
147 |
134 |
$0.00 |
| 1036F |
|
219 |
193 |
$0.00 |
| 3008F |
|
222 |
191 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 1159F |
|
335 |
297 |
$0.00 |
| 3078F |
|
118 |
107 |
$0.00 |
| 99177 |
|
83 |
82 |
$0.00 |
| 1160F |
|
335 |
297 |
$0.00 |