| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,100 |
3,635 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,200 |
1,100 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
889 |
876 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,546 |
1,507 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
127 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
979 |
463 |
$11K |
| 90461 |
|
205 |
202 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
252 |
243 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
632 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
62 |
$6K |
| 99177 |
|
329 |
312 |
$4K |
| 87070 |
|
283 |
277 |
$2K |
| 81002 |
|
658 |
627 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 90688 |
|
32 |
32 |
$629.16 |
| 87807 |
|
47 |
44 |
$500.40 |
| 90661 |
|
13 |
13 |
$479.05 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
18 |
$475.00 |
| 90756 |
|
18 |
17 |
$453.18 |
| 96127 |
|
24 |
24 |
$113.82 |
| 99000 |
|
31 |
15 |
$93.33 |
| 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) |
70 |
68 |
$13.32 |