| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,357 |
2,078 |
$541K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,998 |
1,733 |
$477K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,015 |
964 |
$335K |
| D0140 |
Limited oral evaluation - problem focused |
631 |
593 |
$217K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
167 |
$7K |
| 0012A |
|
60 |
60 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
230 |
221 |
$2K |
| 0001A |
|
27 |
27 |
$1K |
| 0064A |
|
31 |
31 |
$996.78 |
| 0011A |
|
50 |
50 |
$841.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
60 |
$114.61 |
| 96160 |
|
17 |
16 |
$0.00 |