| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,637 |
10,249 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,587 |
3,039 |
$128K |
| 99307 |
|
2,170 |
2,020 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
596 |
520 |
$14K |
| 99441 |
|
200 |
176 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
95 |
82 |
$3K |
| 99442 |
|
70 |
58 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
85 |
$975.34 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
71 |
25 |
$825.83 |
| 90686 |
|
85 |
78 |
$751.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
65 |
$751.45 |
| 92552 |
|
60 |
58 |
$631.73 |
| 99221 |
|
21 |
14 |
$425.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$253.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$222.41 |
| 81002 |
|
14 |
12 |
$14.40 |
| 1125F |
|
434 |
326 |
$0.17 |
| 3074F |
|
357 |
268 |
$0.15 |
| 3008F |
|
3,117 |
2,514 |
$0.15 |
| 3078F |
|
430 |
316 |
$0.13 |
| 3044F |
|
118 |
87 |
$0.07 |
| 3075F |
|
113 |
88 |
$0.05 |
| 1159F |
|
127 |
102 |
$0.02 |
| 1160F |
|
110 |
89 |
$0.02 |
| 1126F |
|
52 |
42 |
$0.02 |
| 3079F |
|
68 |
41 |
$0.01 |
| 1032F |
|
442 |
350 |
$0.00 |
| 4013F |
|
60 |
38 |
$0.00 |
| 1158F |
|
40 |
38 |
$0.00 |
| 3725F |
|
240 |
196 |
$0.00 |
| 3077F |
|
27 |
12 |
$0.00 |
| 99499 |
|
33 |
26 |
$0.00 |