| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
462 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
441 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
241 |
220 |
$12K |
| 87634 |
|
235 |
213 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
219 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
521 |
260 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
381 |
153 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
30 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
89 |
$2K |
| 90461 |
|
176 |
142 |
$985.44 |
| 90670 |
|
13 |
12 |
$900.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
57 |
$865.13 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
51 |
46 |
$708.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$119.04 |
| 87807 |
|
17 |
14 |
$26.69 |
| 99173 |
|
192 |
162 |
$0.00 |
| 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) |
15 |
12 |
$0.00 |
| 92551 |
|
194 |
163 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |