| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,746 |
7,177 |
$525K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,384 |
1,324 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,779 |
3,764 |
$109K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
532 |
516 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
338 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
197 |
$19K |
| 92551 |
|
2,303 |
2,303 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
500 |
484 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
124 |
122 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$5K |
| 0071A |
|
121 |
121 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
202 |
$3K |
| 0072A |
|
65 |
65 |
$3K |
| 99173 |
|
1,187 |
1,187 |
$2K |
| 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) |
127 |
112 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$958.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
51 |
$800.44 |
| 96127 |
|
94 |
94 |
$789.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$451.50 |
| 90480 |
|
12 |
12 |
$376.35 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$363.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$340.26 |
| 90686 |
|
131 |
131 |
$75.23 |
| 90674 |
|
13 |
13 |
$32.28 |
| 90661 |
|
15 |
15 |
$0.00 |