| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,529 |
2,245 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,932 |
2,464 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
810 |
719 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
428 |
390 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
415 |
358 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
317 |
293 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
283 |
239 |
$11K |
| 99000 |
|
443 |
384 |
$10K |
| 99215 |
Prolong outpt/office vis |
136 |
128 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
82 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
109 |
104 |
$5K |
| 90670 |
|
213 |
197 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
83 |
$2K |
| 36416 |
|
602 |
534 |
$2K |
| 90686 |
|
238 |
208 |
$2K |
| 81002 |
|
711 |
666 |
$2K |
| 85018 |
|
731 |
633 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
20 |
20 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
55 |
54 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
16 |
$970.30 |
| 83655 |
|
83 |
83 |
$960.66 |
| 90698 |
|
81 |
68 |
$591.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
43 |
$587.50 |
| 90651 |
|
55 |
40 |
$582.71 |
| 90619 |
|
34 |
17 |
$514.19 |
| 90710 |
|
15 |
15 |
$500.82 |
| 90633 |
|
28 |
27 |
$332.10 |
| 90734 |
|
16 |
16 |
$233.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$127.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
71 |
$0.00 |