| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,885 |
6,814 |
$537K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,683 |
5,708 |
$321K |
| 87428 |
|
171 |
155 |
$9K |
| 90686 |
|
1,021 |
764 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
580 |
394 |
$5K |
| 92551 |
|
511 |
351 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
72 |
41 |
$2K |
| 96127 |
|
588 |
498 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
28 |
$1K |
| 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) |
271 |
216 |
$620.25 |
| 81002 |
|
623 |
474 |
$613.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
48 |
$391.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$307.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
61 |
$298.77 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
13 |
$262.76 |
| 93000 |
|
34 |
24 |
$190.98 |
| 90656 |
|
32 |
29 |
$168.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$125.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
377 |
296 |
$0.00 |
| 90461 |
|
20 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
144 |
114 |
$0.00 |
| 3008F |
|
3,982 |
3,509 |
$0.00 |