| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,188 |
3,448 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
572 |
540 |
$58K |
| 99442 |
|
769 |
682 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
905 |
853 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,354 |
653 |
$17K |
| 92552 |
|
968 |
968 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$10K |
| 92568 |
|
693 |
631 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,442 |
1,396 |
$8K |
| 92550 |
|
600 |
580 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,745 |
1,610 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
64 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
443 |
437 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$3K |
| 96127 |
|
385 |
385 |
$2K |
| 97802 |
|
1,199 |
1,198 |
$423.36 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
771 |
770 |
$295.00 |
| 99050 |
|
30 |
29 |
$152.60 |
| 87070 |
|
14 |
12 |
$114.10 |
| 99173 |
|
1,032 |
1,032 |
$67.17 |
| 92567 |
|
706 |
645 |
$50.46 |
| 90686 |
|
211 |
211 |
$22.66 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |