| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,586 |
4,919 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,289 |
3,796 |
$249K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,154 |
1,056 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,096 |
989 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
426 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
193 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
85 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
141 |
122 |
$4K |
| 99201 |
|
94 |
83 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
129 |
$3K |
| 90461 |
|
29 |
27 |
$2K |
| 97802 |
|
28 |
26 |
$2K |
| 0013A |
|
32 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
136 |
$2K |
| 0012A |
|
57 |
54 |
$2K |
| 0011A |
|
44 |
44 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 0124A |
|
13 |
12 |
$846.81 |
| 0002A |
|
12 |
12 |
$841.45 |
| 99490 |
Ccm add 20min |
92 |
91 |
$839.15 |
| 0001A |
|
15 |
14 |
$794.87 |
| 90686 |
|
48 |
41 |
$385.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$223.67 |
| 99349 |
|
18 |
13 |
$200.01 |
| 90756 |
|
14 |
13 |
$196.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$188.04 |
| 99173 |
|
13 |
12 |
$29.70 |
| 1159F |
|
2,122 |
1,823 |
$0.00 |
| 3078F |
|
1,688 |
1,522 |
$0.00 |
| 1160F |
|
2,123 |
1,823 |
$0.00 |
| 3079F |
|
558 |
517 |
$0.00 |
| 3074F |
|
2,031 |
1,812 |
$0.00 |
| 3008F |
|
2,695 |
2,415 |
$0.00 |
| 1036F |
|
1,514 |
1,225 |
$0.00 |
| 1034F |
|
78 |
67 |
$0.00 |
| 1125F |
|
48 |
45 |
$0.00 |
| 3075F |
|
39 |
36 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |