| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,676 |
9,030 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,429 |
5,078 |
$147K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,714 |
1,518 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
727 |
655 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
268 |
252 |
$9K |
| 99215 |
Prolong outpt/office vis |
211 |
162 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,011 |
450 |
$8K |
| 90686 |
|
379 |
318 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
421 |
351 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
560 |
433 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
57 |
52 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,028 |
758 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
417 |
$4K |
| 80305 |
|
704 |
580 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
37 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
208 |
149 |
$2K |
| 93000 |
|
172 |
138 |
$2K |
| 90688 |
|
125 |
119 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$976.12 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
191 |
132 |
$591.14 |
| 81003 |
|
1,188 |
909 |
$442.45 |
| 0064A |
|
13 |
13 |
$362.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
17 |
$341.46 |
| 94060 |
|
14 |
13 |
$305.53 |
| 99490 |
Ccm add 20min |
74 |
58 |
$263.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
200 |
163 |
$244.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$145.75 |
| 99072 |
|
1,106 |
893 |
$135.00 |
| 99406 |
|
16 |
16 |
$112.68 |
| 90653 |
|
18 |
17 |
$46.20 |
| 82962 |
|
19 |
13 |
$15.53 |
| G0008 |
Administration of influenza virus vaccine |
46 |
43 |
$0.00 |
| 888888 |
|
295 |
244 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |