| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,238 |
12,095 |
$862K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
359 |
316 |
$33K |
| 90686 |
|
1,445 |
1,429 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
227 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
368 |
357 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
117 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
246 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
59 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
64 |
63 |
$5K |
| 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) |
1,171 |
1,058 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,762 |
1,704 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
119 |
114 |
$4K |
| 99460 |
|
22 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
197 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
20 |
$2K |
| 90698 |
|
67 |
67 |
$1K |
| 90670 |
|
67 |
67 |
$1K |
| 90461 |
|
676 |
670 |
$959.34 |
| 90656 |
|
88 |
86 |
$821.97 |
| 90672 |
|
34 |
33 |
$615.58 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$469.73 |
| 92551 |
|
29 |
28 |
$410.12 |
| 90680 |
|
13 |
13 |
$255.68 |
| 90744 |
|
12 |
12 |
$237.84 |
| 99173 |
|
107 |
101 |
$205.56 |
| 87081 |
|
26 |
25 |
$205.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$201.02 |
| 90480 |
|
18 |
18 |
$165.78 |
| 99177 |
|
25 |
24 |
$106.95 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$34.38 |
| 85018 |
|
13 |
13 |
$29.97 |
| 36416 |
|
15 |
14 |
$0.00 |
| 91307 |
|
16 |
14 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |