| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,862 |
6,064 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,822 |
3,477 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
172 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
832 |
374 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,092 |
774 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
619 |
372 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
91 |
$1K |
| 0012A |
|
59 |
59 |
$760.00 |
| 99442 |
|
17 |
15 |
$579.38 |
| 90461 |
|
80 |
68 |
$559.68 |
| 0011A |
|
58 |
58 |
$512.46 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$396.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$317.19 |
| 90756 |
|
12 |
12 |
$130.51 |
| 90688 |
|
14 |
14 |
$100.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
27 |
$73.33 |
| 3008F |
|
33 |
31 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |