| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,359 |
8,702 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,674 |
5,940 |
$191K |
| 99215 |
Prolong outpt/office vis |
437 |
363 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
91 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
227 |
211 |
$3K |
| 99490 |
Ccm add 20min |
689 |
676 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
92 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
56 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
155 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$465.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
21 |
$392.54 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
30 |
30 |
$388.72 |
| 87428 |
|
126 |
106 |
$335.55 |
| 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) |
102 |
98 |
$206.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
282 |
$192.19 |
| 90473 |
|
42 |
39 |
$129.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
123 |
$88.65 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 90686 |
|
17 |
13 |
$0.00 |
| 90723 |
|
42 |
38 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
25 |
$0.00 |
| 90680 |
|
55 |
51 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
14 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 90694 |
|
14 |
12 |
$0.00 |
| 90648 |
|
76 |
65 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 3078F |
|
18 |
18 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |