| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,269 |
4,928 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,029 |
4,905 |
$301K |
| 99199 |
Unlisted special service, procedure or report |
42,212 |
24,480 |
$265K |
| 99442 |
|
1,054 |
748 |
$38K |
| 99443 |
|
685 |
463 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
798 |
588 |
$27K |
| 99490 |
Ccm add 20min |
3,129 |
2,137 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
952 |
680 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,069 |
433 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
178 |
104 |
$12K |
| 99401 |
|
543 |
355 |
$10K |
| 99441 |
|
496 |
380 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
63 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
271 |
212 |
$7K |
| 96127 |
|
2,303 |
1,398 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
50 |
$5K |
| 99457 |
|
649 |
476 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
433 |
280 |
$5K |
| 0001A |
|
87 |
59 |
$4K |
| 0002A |
|
71 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
85 |
$3K |
| 99406 |
|
446 |
332 |
$3K |
| 92551 |
|
737 |
479 |
$2K |
| 99454 |
|
268 |
174 |
$2K |
| 0072A |
|
39 |
27 |
$2K |
| 0071A |
|
29 |
26 |
$2K |
| 0011A |
|
32 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
163 |
135 |
$1K |
| 0012A |
|
21 |
20 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
73 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
40 |
$828.81 |
| 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) |
428 |
332 |
$803.57 |
| 0054A |
|
18 |
14 |
$650.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
195 |
114 |
$586.53 |
| 90674 |
|
56 |
27 |
$510.95 |
| 90686 |
|
404 |
233 |
$440.16 |
| 81002 |
|
267 |
178 |
$431.67 |
| 82962 |
|
550 |
337 |
$390.07 |
| 3078F |
|
1,094 |
869 |
$120.39 |
| 99172 |
|
240 |
164 |
$1.00 |
| 3074F |
|
1,525 |
1,196 |
$0.36 |
| 1160F |
|
1,811 |
1,274 |
$0.21 |
| 3044F |
|
54 |
44 |
$0.11 |
| 3079F |
|
725 |
573 |
$0.09 |
| 3008F |
|
3,746 |
2,864 |
$0.07 |
| 3075F |
|
228 |
195 |
$0.03 |
| 3077F |
|
217 |
164 |
$0.02 |
| 3080F |
|
178 |
138 |
$0.02 |
| 91307 |
|
72 |
58 |
$0.02 |
| 4004F |
|
86 |
71 |
$0.00 |
| 99072 |
|
120 |
89 |
$0.00 |
| 91300 |
|
255 |
189 |
$0.00 |
| 1036F |
|
2,876 |
2,144 |
$0.00 |
| 1034F |
|
113 |
84 |
$0.00 |
| 91301 |
|
67 |
57 |
$0.00 |
| 91305 |
|
19 |
15 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
50 |
$0.00 |
| 90656 |
|
17 |
15 |
$0.00 |