| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,413 |
3,102 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,599 |
4,213 |
$158K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
589 |
546 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,100 |
453 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
501 |
267 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
280 |
$4K |
| 0001A |
|
82 |
82 |
$3K |
| 0002A |
|
69 |
69 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
37 |
$1K |
| 0071A |
|
27 |
26 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
40 |
$919.68 |
| 87428 |
|
13 |
13 |
$881.88 |
| 96160 |
|
657 |
597 |
$351.79 |
| 99000 |
|
14 |
13 |
$140.40 |
| 92551 |
|
41 |
40 |
$124.30 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$77.75 |
| 90686 |
|
70 |
69 |
$17.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$8.14 |
| 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) |
611 |
560 |
$1.66 |
| 91300 |
|
233 |
183 |
$0.02 |
| 99177 |
|
63 |
63 |
$0.00 |
| 90461 |
|
57 |
53 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 99051 |
|
60 |
57 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 91307 |
|
35 |
31 |
$0.00 |
| 96127 |
|
96 |
95 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |