| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,874 |
1,434 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,065 |
870 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,034 |
912 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,744 |
778 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
206 |
195 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
190 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,127 |
445 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
875 |
785 |
$11K |
| 99429 |
|
157 |
155 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
375 |
289 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 99383 |
|
30 |
27 |
$3K |
| 99382 |
|
32 |
27 |
$2K |
| 94760 |
|
824 |
659 |
$974.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$554.04 |
| S8301 |
Infection control supplies, not otherwise specified |
43 |
36 |
$430.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
29 |
$365.49 |
| 87807 |
|
17 |
17 |
$176.00 |
| 96160 |
|
18 |
17 |
$29.25 |
| 90686 |
|
154 |
152 |
$0.04 |
| 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) |
17 |
17 |
$0.00 |
| 90648 |
|
81 |
81 |
$0.00 |
| 90671 |
|
85 |
82 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 97802 |
|
57 |
54 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
27 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |