| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,823 |
8,108 |
$638K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,412 |
5,180 |
$480K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
368 |
$46K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
719 |
708 |
$20K |
| 86580 |
|
605 |
572 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
175 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
260 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$1K |
| 90658 |
|
51 |
51 |
$1K |
| 99215 |
Prolong outpt/office vis |
719 |
702 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| 0012A |
|
12 |
12 |
$340.68 |
| 99490 |
Ccm add 20min |
2,818 |
2,810 |
$152.64 |
| 99497 |
|
36 |
36 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
37 |
37 |
$0.00 |
| 90688 |
|
83 |
83 |
$0.00 |
| 99484 |
|
25 |
25 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
37 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
71 |
71 |
$0.00 |