| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,265 |
2,698 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,640 |
1,452 |
$129K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,717 |
746 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
248 |
227 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
257 |
224 |
$16K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
325 |
292 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,472 |
1,139 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,049 |
1,458 |
$11K |
| 90677 |
|
89 |
77 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
102 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
661 |
567 |
$7K |
| 92551 |
|
563 |
532 |
$5K |
| 94760 |
|
4,281 |
3,683 |
$5K |
| 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) |
575 |
485 |
$5K |
| 86328 |
|
184 |
105 |
$3K |
| 96127 |
|
689 |
553 |
$3K |
| 90686 |
|
274 |
257 |
$3K |
| 90461 |
|
495 |
391 |
$2K |
| 99173 |
|
758 |
711 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90656 |
|
61 |
61 |
$988.67 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$778.43 |
| 90670 |
|
26 |
24 |
$510.98 |
| 90633 |
|
12 |
12 |
$249.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
29 |
$42.82 |
| 96161 |
|
29 |
24 |
$38.26 |
| 96160 |
|
12 |
12 |
$22.90 |
| 91307 |
|
49 |
43 |
$0.00 |