| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,921 |
2,482 |
$116K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,175 |
1,088 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,698 |
1,264 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,622 |
1,219 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,471 |
1,378 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
201 |
$18K |
| 96112 |
|
151 |
147 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
162 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
134 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
209 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
48 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
440 |
421 |
$2K |
| 90461 |
|
164 |
136 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$1K |
| 99000 |
|
89 |
87 |
$1K |
| 90688 |
|
300 |
298 |
$955.71 |
| H0049 |
Alcohol and/or drug screening |
92 |
92 |
$471.60 |
| 97169 |
|
12 |
12 |
$330.00 |
| 99001 |
|
37 |
37 |
$214.11 |
| 97802 |
|
332 |
331 |
$190.98 |
| 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) |
261 |
229 |
$16.36 |
| 90658 |
|
32 |
32 |
$15.31 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90687 |
|
15 |
15 |
$0.00 |
| 99173 |
|
32 |
31 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 96127 |
|
197 |
195 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
174 |
171 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
709 |
696 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |