| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,314 |
9,458 |
$568K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,231 |
3,966 |
$166K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,994 |
1,952 |
$87K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
476 |
453 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
319 |
296 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
900 |
710 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
43 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
254 |
232 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
100 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$941.68 |
| 0002A |
|
64 |
63 |
$920.00 |
| 0001A |
|
56 |
55 |
$542.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
16 |
$475.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$458.54 |
| 0003A |
|
14 |
14 |
$440.00 |
| 90686 |
|
64 |
64 |
$384.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
266 |
252 |
$289.41 |
| 73630 |
|
15 |
12 |
$93.72 |
| 96160 |
|
227 |
213 |
$89.46 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
13 |
$56.44 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$35.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$32.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
44 |
$27.78 |
| 87400 |
|
47 |
33 |
$11.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
42 |
$0.41 |
| 90461 |
|
22 |
14 |
$0.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
308 |
286 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
746 |
660 |
$0.00 |
| 1036F |
|
15 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
664 |
587 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
12 |
$0.00 |