| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,057 |
14,241 |
$2.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,386 |
5,506 |
$664K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
684 |
612 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
635 |
620 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
448 |
446 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
385 |
379 |
$61K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,270 |
1,204 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,209 |
3,025 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
568 |
517 |
$29K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
423 |
342 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
92 |
$11K |
| 90686 |
|
1,092 |
1,018 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
318 |
292 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
104 |
78 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,268 |
1,229 |
$2K |
| 90651 |
|
118 |
117 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$1K |
| 90670 |
|
250 |
248 |
$990.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$687.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$682.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
38 |
$455.94 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$392.50 |
| 90715 |
|
92 |
84 |
$332.47 |
| 81003 |
|
1,272 |
933 |
$176.14 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$72.80 |
| 81025 |
|
58 |
55 |
$11.14 |
| 87400 |
|
218 |
212 |
$7.58 |
| 90698 |
|
96 |
95 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
109 |
102 |
$0.00 |
| 0001A |
|
30 |
27 |
$0.00 |
| 90680 |
|
30 |
29 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
56 |
$0.00 |
| 90620 |
|
21 |
19 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90473 |
|
26 |
25 |
$0.00 |
| 90734 |
|
71 |
67 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
338 |
324 |
$0.00 |
| 90710 |
|
33 |
33 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |