| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,063 |
4,280 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,815 |
4,496 |
$193K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,340 |
1,064 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,405 |
877 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,256 |
818 |
$14K |
| 96160 |
|
1,571 |
872 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
114 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
104 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
702 |
309 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
535 |
472 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
25 |
$4K |
| 99490 |
Ccm add 20min |
1,119 |
789 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,494 |
1,622 |
$3K |
| 92551 |
|
310 |
168 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
103 |
$2K |
| 90686 |
|
525 |
331 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
107 |
$1K |
| 99173 |
|
360 |
185 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$1K |
| 99215 |
Prolong outpt/office vis |
23 |
15 |
$882.97 |
| 81003 |
|
785 |
558 |
$770.62 |
| 1160F |
|
123 |
96 |
$730.00 |
| 99454 |
|
326 |
268 |
$723.01 |
| 1159F |
|
121 |
95 |
$720.00 |
| 96127 |
|
226 |
126 |
$713.59 |
| 87807 |
|
85 |
60 |
$690.29 |
| 90674 |
|
66 |
42 |
$538.26 |
| 3008F |
|
162 |
103 |
$534.92 |
| 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) |
370 |
202 |
$501.65 |
| 99457 |
|
272 |
221 |
$490.92 |
| 81002 |
|
381 |
235 |
$424.08 |
| 93000 |
|
56 |
28 |
$375.08 |
| 90461 |
|
330 |
203 |
$309.56 |
| 90688 |
|
49 |
35 |
$308.88 |
| 99188 |
|
374 |
242 |
$264.00 |
| 88738 |
|
54 |
19 |
$210.86 |
| 90658 |
|
15 |
12 |
$135.12 |
| 96161 |
|
40 |
15 |
$29.83 |
| G0008 |
Administration of influenza virus vaccine |
90 |
51 |
$13.12 |
| 91301 |
|
27 |
15 |
$0.04 |
| 90653 |
|
15 |
12 |
$0.00 |
| 90670 |
|
26 |
14 |
$0.00 |
| 99439 |
|
20 |
13 |
$0.00 |