| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,505 |
21,413 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,274 |
6,892 |
$641K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,992 |
2,917 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,933 |
5,323 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,082 |
1,051 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
765 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
411 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,015 |
1,953 |
$24K |
| 90686 |
|
3,496 |
3,335 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,335 |
2,280 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
991 |
491 |
$10K |
| 99050 |
|
485 |
475 |
$10K |
| 99173 |
|
811 |
802 |
$9K |
| 96127 |
|
2,375 |
2,293 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
94 |
$8K |
| 92587 |
|
385 |
366 |
$6K |
| 87081 |
|
1,528 |
1,500 |
$4K |
| 90656 |
|
308 |
292 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
269 |
258 |
$4K |
| 90651 |
|
25 |
17 |
$3K |
| 99174 |
|
580 |
561 |
$3K |
| 90677 |
|
13 |
13 |
$3K |
| 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) |
391 |
368 |
$1K |
| 3008F |
|
107 |
103 |
$980.00 |
| 90734 |
|
33 |
19 |
$944.10 |
| 90670 |
|
16 |
12 |
$664.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$659.01 |
| 99051 |
|
254 |
249 |
$523.48 |
| 0001A |
|
13 |
13 |
$493.67 |
| 0071A |
|
12 |
12 |
$480.00 |
| 90461 |
|
110 |
87 |
$239.78 |
| 92558 |
|
108 |
93 |
$129.78 |
| 90648 |
|
63 |
52 |
$110.46 |
| 90633 |
|
32 |
25 |
$66.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
19 |
$30.76 |
| 90685 |
|
18 |
18 |
$23.23 |
| 91307 |
|
18 |
18 |
$17.00 |
| 94760 |
|
17 |
16 |
$13.80 |
| 91300 |
|
12 |
12 |
$12.00 |
| 99072 |
|
13 |
13 |
$0.00 |