| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,419 |
10,719 |
$480K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,340 |
3,937 |
$263K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,293 |
2,160 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
241 |
116 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
327 |
322 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
290 |
286 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
685 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
214 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
94 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
421 |
397 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
86 |
$5K |
| 0001A |
|
40 |
37 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
16 |
$2K |
| 0072A |
|
20 |
20 |
$2K |
| 90686 |
|
1,488 |
1,441 |
$1K |
| 0002A |
|
31 |
31 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
14 |
$976.82 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
12 |
$874.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$788.45 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
26 |
$730.44 |
| 36415 |
Collection of venous blood by venipuncture |
250 |
241 |
$456.19 |
| 99051 |
|
49 |
48 |
$434.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$414.40 |
| 92587 |
|
12 |
12 |
$223.30 |
| 90656 |
|
47 |
44 |
$25.22 |
| 90723 |
|
12 |
12 |
$10.00 |
| 90670 |
|
26 |
26 |
$10.00 |
| 91300 |
|
107 |
94 |
$0.97 |
| 91307 |
|
27 |
23 |
$0.25 |
| 90651 |
|
18 |
17 |
$0.01 |
| 90647 |
|
12 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
928 |
896 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |