| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,776 |
4,573 |
$481K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,120 |
5,728 |
$447K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
305 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,123 |
2,109 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
919 |
918 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
313 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
286 |
285 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
216 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
160 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
66 |
$3K |
| 90686 |
|
480 |
480 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
95 |
$3K |
| 99318 |
|
32 |
32 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21 |
21 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
70 |
$1K |
| 90651 |
|
99 |
99 |
$923.75 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
16 |
$877.52 |
| 99304 |
|
12 |
12 |
$745.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$453.36 |
| 99307 |
|
12 |
12 |
$408.97 |
| 90656 |
|
61 |
61 |
$397.68 |
| 87807 |
|
15 |
13 |
$174.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$173.78 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$25.40 |
| 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) |
14 |
13 |
$23.02 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90670 |
|
67 |
67 |
$0.00 |