| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,849 |
4,682 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,247 |
1,969 |
$164K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,130 |
1,051 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
197 |
177 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
293 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
113 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
114 |
$9K |
| 96127 |
|
440 |
393 |
$8K |
| 90686 |
|
391 |
303 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
129 |
127 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
38 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
547 |
513 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 99384 |
|
18 |
13 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
71 |
65 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
95 |
$1K |
| 0011A |
|
25 |
25 |
$1K |
| 90674 |
|
42 |
31 |
$872.11 |
| 90756 |
|
28 |
19 |
$733.91 |
| 90656 |
|
33 |
27 |
$660.52 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$590.07 |
| 99072 |
|
69 |
46 |
$495.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$406.90 |
| 99000 |
|
16 |
16 |
$375.36 |
| 90651 |
|
17 |
13 |
$254.91 |
| 99173 |
|
15 |
14 |
$111.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
15 |
$0.00 |
| 91301 |
|
18 |
18 |
$0.00 |