| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,830 |
11,236 |
$778K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,763 |
8,007 |
$481K |
| 99199 |
Unlisted special service, procedure or report |
51,364 |
27,169 |
$318K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,655 |
6,634 |
$279K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,740 |
2,188 |
$178K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,601 |
6,390 |
$176K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
995 |
774 |
$88K |
| 99051 |
|
3,001 |
2,425 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,939 |
4,277 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,896 |
1,173 |
$28K |
| 96127 |
|
5,888 |
4,882 |
$19K |
| 99407 |
|
613 |
423 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
85 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,006 |
833 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
93 |
$4K |
| 99490 |
Ccm add 20min |
401 |
310 |
$4K |
| 81003 |
|
2,244 |
1,764 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
189 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$3K |
| 99454 |
|
368 |
268 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
27 |
$2K |
| 81002 |
|
1,305 |
893 |
$2K |
| 81025 |
|
392 |
312 |
$2K |
| 99457 |
|
231 |
169 |
$2K |
| 96160 |
|
303 |
268 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
62 |
$1K |
| 99406 |
|
179 |
135 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 87210 |
|
182 |
136 |
$590.54 |
| 82120 |
|
130 |
100 |
$416.36 |
| 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) |
103 |
95 |
$335.17 |
| 99050 |
|
20 |
15 |
$333.60 |
| 93000 |
|
24 |
17 |
$274.20 |
| 99439 |
|
33 |
24 |
$237.29 |
| 3085F |
|
233 |
202 |
$200.00 |
| 90674 |
|
26 |
15 |
$189.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
15 |
$134.00 |
| 3044F |
|
204 |
178 |
$80.00 |
| 0513F |
|
12 |
12 |
$40.00 |
| 92552 |
|
24 |
17 |
$16.15 |
| 1101F |
|
5,635 |
4,711 |
$0.00 |
| 3008F |
|
4,656 |
3,870 |
$0.00 |
| 3074F |
|
351 |
316 |
$0.00 |
| 3075F |
|
75 |
67 |
$0.00 |
| 99172 |
|
21 |
16 |
$0.00 |
| 3079F |
|
185 |
166 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 3048F |
|
27 |
26 |
$0.00 |
| 1160F |
|
3,849 |
3,332 |
$0.00 |
| 1159F |
|
3,049 |
2,632 |
$0.00 |
| 3078F |
|
159 |
144 |
$0.00 |
| 3725F |
|
41 |
32 |
$0.00 |
| 2014F |
|
20 |
16 |
$0.00 |
| 99072 |
|
35 |
32 |
$0.00 |