| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,289 |
5,570 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,260 |
3,758 |
$234K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,171 |
856 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,175 |
1,073 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
226 |
$14K |
| 92551 |
|
801 |
730 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
79 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
70 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
422 |
371 |
$5K |
| 94010 |
|
257 |
241 |
$5K |
| 81002 |
|
2,250 |
1,991 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
261 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
40 |
$3K |
| 90756 |
|
104 |
92 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$2K |
| 99490 |
Ccm add 20min |
256 |
222 |
$2K |
| 90688 |
|
124 |
108 |
$1K |
| 99173 |
|
925 |
781 |
$1K |
| 82962 |
|
640 |
538 |
$889.73 |
| 0001A |
|
16 |
16 |
$806.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
36 |
$766.92 |
| 0002A |
|
17 |
12 |
$569.96 |
| 0011A |
|
13 |
13 |
$482.04 |
| 0124A |
|
14 |
14 |
$441.36 |
| 90686 |
|
78 |
74 |
$437.69 |
| 0064A |
|
13 |
12 |
$431.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
30 |
$393.90 |
| 93000 |
|
32 |
28 |
$329.20 |
| 99442 |
|
13 |
13 |
$254.76 |
| 96160 |
|
15 |
14 |
$135.00 |
| 81025 |
|
14 |
14 |
$82.03 |
| G0008 |
Administration of influenza virus vaccine |
32 |
29 |
$0.00 |
| 91301 |
|
43 |
36 |
$0.00 |
| 91306 |
|
13 |
12 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |
| 91300 |
|
147 |
115 |
$0.00 |
| 90658 |
|
33 |
31 |
$0.00 |
| 91312 |
|
15 |
14 |
$0.00 |
| 90707 |
|
15 |
13 |
$0.00 |