| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,208 |
9,559 |
$725K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,752 |
3,581 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
632 |
$68K |
| 99215 |
Prolong outpt/office vis |
419 |
408 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
391 |
387 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
304 |
303 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,103 |
1,098 |
$14K |
| 99457 |
|
410 |
407 |
$11K |
| 90686 |
|
611 |
609 |
$9K |
| 91320 |
|
56 |
56 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$6K |
| 90480 |
|
56 |
56 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
417 |
404 |
$2K |
| 96127 |
|
494 |
482 |
$2K |
| 90656 |
|
81 |
81 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$1K |
| 90715 |
|
40 |
38 |
$1K |
| 99443 |
|
26 |
26 |
$919.47 |
| 99442 |
|
33 |
33 |
$523.89 |
| 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) |
960 |
921 |
$491.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$464.54 |
| 99454 |
|
13 |
13 |
$351.84 |
| 99458 |
|
14 |
14 |
$338.19 |
| 98926 |
|
15 |
13 |
$318.84 |
| 96160 |
|
12 |
12 |
$202.92 |
| 99406 |
|
14 |
14 |
$122.79 |
| 81003 |
|
52 |
51 |
$79.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$71.91 |
| 98966 |
|
17 |
17 |
$46.38 |
| 1159F |
|
6,805 |
6,175 |
$0.00 |
| 3078F |
|
5,647 |
5,256 |
$0.00 |
| 3725F |
|
3,583 |
3,487 |
$0.00 |
| 3077F |
|
1,125 |
1,071 |
$0.00 |
| 1160F |
|
6,803 |
6,173 |
$0.00 |
| 3288F |
|
96 |
96 |
$0.00 |
| 3080F |
|
682 |
647 |
$0.00 |
| 3079F |
|
2,489 |
2,403 |
$0.00 |
| 1125F |
|
794 |
747 |
$0.00 |
| 1036F |
|
8,813 |
7,851 |
$0.00 |
| 1126F |
|
604 |
594 |
$0.00 |
| 3008F |
|
9,068 |
8,275 |
$0.00 |
| 3075F |
|
1,474 |
1,432 |
$0.00 |
| 3074F |
|
6,264 |
5,796 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
32 |
$0.00 |