| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,659 |
4,577 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,374 |
2,051 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
481 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
223 |
197 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
209 |
$17K |
| 90686 |
|
1,278 |
1,110 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
25 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
213 |
92 |
$2K |
| 82962 |
|
700 |
591 |
$1K |
| 0011A |
|
45 |
38 |
$1K |
| 0012A |
|
36 |
36 |
$875.00 |
| 90688 |
|
68 |
52 |
$588.26 |
| 90656 |
|
41 |
35 |
$563.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
36 |
$485.10 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$480.00 |
| 96160 |
|
29 |
25 |
$347.54 |
| 0013A |
|
14 |
14 |
$330.00 |
| 82948 |
|
83 |
66 |
$265.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
13 |
$215.82 |
| G0008 |
Administration of influenza virus vaccine |
21 |
20 |
$106.49 |
| 90734 |
|
14 |
13 |
$97.86 |
| 90651 |
|
15 |
12 |
$70.40 |
| 81002 |
|
15 |
13 |
$33.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$21.40 |
| G8484 |
Influenza immunization was not administered, reason not given |
389 |
348 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
144 |
125 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
152 |
123 |
$0.00 |
| 99442 |
|
40 |
20 |
$0.00 |
| 1036F |
|
335 |
283 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
357 |
305 |
$0.00 |