| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,360 |
3,643 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,642 |
3,904 |
$158K |
| S9083 |
Global fee urgent care centers |
1,033 |
808 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
775 |
601 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
900 |
693 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
839 |
675 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
515 |
444 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
375 |
292 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
93 |
$4K |
| 99442 |
|
306 |
273 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
89 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,474 |
2,116 |
$3K |
| 99401 |
|
217 |
182 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
173 |
156 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
179 |
$2K |
| 81025 |
|
913 |
763 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
35 |
28 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
25 |
$958.58 |
| 0001A |
|
16 |
14 |
$440.00 |
| 90461 |
|
46 |
44 |
$415.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
86 |
$340.25 |
| 81003 |
|
1,397 |
1,248 |
$305.91 |
| 96127 |
|
82 |
77 |
$213.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$188.66 |
| G0008 |
Administration of influenza virus vaccine |
53 |
46 |
$124.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
13 |
$113.20 |
| 86580 |
|
38 |
34 |
$96.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
89 |
70 |
$57.45 |
| 90686 |
|
71 |
52 |
$35.76 |
| 99173 |
|
74 |
64 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
57 |
47 |
$0.00 |
| 99000 |
|
59 |
57 |
$0.00 |