| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,091 |
917 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
790 |
674 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
82 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
52 |
$4K |
| 96127 |
|
379 |
251 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$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) |
265 |
228 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
41 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
28 |
$839.43 |
| 90686 |
|
76 |
71 |
$746.52 |
| 92551 |
|
70 |
68 |
$679.52 |
| 87428 |
|
13 |
13 |
$452.26 |
| 90672 |
|
18 |
18 |
$198.00 |
| 90656 |
|
12 |
12 |
$170.36 |
| 97802 |
|
197 |
186 |
$156.09 |
| 90670 |
|
13 |
13 |
$143.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$142.54 |
| 90697 |
|
12 |
12 |
$132.00 |
| 96160 |
|
103 |
76 |
$129.84 |
| 99173 |
|
28 |
26 |
$61.90 |
| 99174 |
|
14 |
12 |
$61.68 |
| 96161 |
|
13 |
13 |
$29.81 |
| 99072 |
|
54 |
38 |
$10.06 |