| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,860 |
6,193 |
$851K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,975 |
8,696 |
$833K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,549 |
1,346 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
369 |
278 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
389 |
336 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
742 |
594 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
288 |
254 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
147 |
$18K |
| 93000 |
|
1,202 |
1,031 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
83 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
120 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
91 |
$11K |
| 90686 |
|
500 |
379 |
$10K |
| 99385 |
|
50 |
45 |
$7K |
| 96127 |
|
1,791 |
1,336 |
$6K |
| 0011A |
|
128 |
90 |
$4K |
| 81002 |
|
1,527 |
1,312 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
71 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
143 |
$3K |
| 0012A |
|
84 |
83 |
$3K |
| 81025 |
|
589 |
517 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
150 |
$3K |
| 90651 |
|
88 |
87 |
$3K |
| 82962 |
|
1,031 |
786 |
$2K |
| 99173 |
|
895 |
846 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 0064A |
|
36 |
34 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
138 |
121 |
$924.63 |
| 90619 |
|
36 |
32 |
$905.96 |
| 90698 |
|
39 |
37 |
$861.36 |
| 90674 |
|
29 |
19 |
$838.32 |
| 90715 |
|
27 |
26 |
$654.32 |
| 99406 |
|
73 |
43 |
$632.70 |
| 90677 |
|
16 |
13 |
$591.30 |
| 90670 |
|
27 |
25 |
$582.00 |
| 90688 |
|
26 |
24 |
$476.52 |
| 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) |
296 |
183 |
$437.32 |
| 99050 |
|
21 |
16 |
$425.00 |
| 90734 |
|
16 |
16 |
$372.48 |
| 90633 |
|
16 |
14 |
$325.92 |
| 96160 |
|
111 |
106 |
$257.61 |
| 3074F |
|
11,348 |
8,958 |
$11.00 |
| 3078F |
|
9,000 |
7,190 |
$8.63 |
| 3079F |
|
4,234 |
3,429 |
$4.15 |
| 99499 |
|
318 |
285 |
$2.03 |
| 3075F |
|
1,866 |
1,512 |
$1.92 |
| 1160F |
|
14,243 |
10,382 |
$1.55 |
| 1036F |
|
12,846 |
9,533 |
$1.34 |
| 1159F |
|
13,420 |
9,736 |
$0.96 |
| 3008F |
|
15,485 |
11,852 |
$0.90 |
| 3080F |
|
735 |
582 |
$0.70 |
| 3077F |
|
857 |
679 |
$0.59 |
| 1034F |
|
3,279 |
2,216 |
$0.15 |
| 3725F |
|
4,050 |
3,097 |
$0.15 |
| 1125F |
|
422 |
278 |
$0.00 |
| 1126F |
|
1,350 |
868 |
$0.00 |
| 1035F |
|
598 |
400 |
$0.00 |
| 3044F |
|
87 |
82 |
$0.00 |
| 90656 |
|
62 |
61 |
$0.00 |
| 3288F |
|
1,172 |
664 |
$0.00 |
| 1100F |
|
24 |
18 |
$0.00 |