| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,597 |
17,642 |
$1.24M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,662 |
1,641 |
$240K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,789 |
5,771 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
661 |
661 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
630 |
630 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
388 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,162 |
1,146 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
286 |
286 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
842 |
841 |
$18K |
| 92551 |
|
2,395 |
2,393 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
293 |
$8K |
| 90480 |
|
159 |
159 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
55 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
319 |
319 |
$5K |
| 96127 |
|
831 |
816 |
$4K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 0072A |
|
34 |
34 |
$1K |
| 99051 |
|
122 |
122 |
$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) |
72 |
68 |
$1K |
| 0071A |
|
40 |
40 |
$907.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
70 |
$706.67 |
| 99173 |
|
355 |
355 |
$631.17 |
| 90461 |
|
15 |
15 |
$598.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$483.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
36 |
$440.23 |
| 99050 |
|
28 |
28 |
$197.05 |
| 99177 |
|
31 |
31 |
$95.42 |
| 85018 |
|
25 |
25 |
$50.30 |
| 94760 |
|
156 |
147 |
$0.00 |