| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
861 |
780 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
339 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
57 |
$7K |
| 0071A |
|
189 |
174 |
$6K |
| 0072A |
|
130 |
124 |
$5K |
| 90686 |
|
203 |
202 |
$4K |
| 90688 |
|
123 |
122 |
$2K |
| 0002A |
|
57 |
48 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
41 |
$2K |
| 0001A |
|
40 |
33 |
$1K |
| 0003A |
|
22 |
18 |
$689.20 |
| 0073A |
|
25 |
21 |
$640.00 |
| 90685 |
|
29 |
29 |
$636.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
75 |
$453.80 |
| 80061 |
Lipid panel |
42 |
40 |
$432.00 |
| 0111A |
|
18 |
13 |
$400.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
13 |
$271.32 |
| 99072 |
|
61 |
52 |
$195.00 |
| 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) |
13 |
12 |
$127.68 |
| 96127 |
|
12 |
12 |
$35.26 |
| 81002 |
|
14 |
14 |
$24.46 |
| 91307 |
|
274 |
254 |
$0.21 |
| 91311 |
|
32 |
24 |
$0.07 |
| 91300 |
|
37 |
35 |
$0.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
34 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90461 |
|
22 |
18 |
$0.00 |
| 3008F |
|
43 |
43 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |