| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,756 |
4,919 |
$381K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,673 |
4,824 |
$276K |
| 99199 |
Unlisted special service, procedure or report |
53,719 |
31,250 |
$207K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
925 |
831 |
$14K |
| 99215 |
Prolong outpt/office vis |
96 |
78 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
181 |
177 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
50 |
$6K |
| 99443 |
|
143 |
104 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
48 |
$4K |
| 87449 |
|
255 |
231 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
69 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
215 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
16 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
162 |
$911.30 |
| 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) |
204 |
179 |
$762.27 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
13 |
$620.70 |
| 90756 |
|
175 |
149 |
$580.96 |
| 99441 |
|
15 |
13 |
$328.65 |
| 99442 |
|
23 |
14 |
$187.17 |
| 90688 |
|
90 |
73 |
$147.15 |
| 96127 |
|
18 |
12 |
$107.04 |
| 3074F |
|
326 |
268 |
$50.19 |
| 81002 |
|
13 |
12 |
$22.05 |
| 3078F |
|
180 |
149 |
$3.67 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90687 |
|
17 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
31 |
$0.00 |
| 3079F |
|
30 |
25 |
$0.00 |