| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,378 |
2,138 |
$102K |
| 90686 |
|
1,066 |
988 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
53 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
272 |
251 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
129 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
25 |
$1K |
| 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) |
376 |
363 |
$879.06 |
| 90670 |
|
111 |
110 |
$420.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$226.00 |
| 92551 |
|
62 |
61 |
$167.86 |
| 90680 |
|
64 |
63 |
$130.00 |
| 90620 |
|
13 |
13 |
$130.00 |
| 90734 |
|
13 |
13 |
$130.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$120.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
13 |
$112.28 |
| 90698 |
|
52 |
50 |
$88.00 |
| 99173 |
|
27 |
24 |
$39.00 |
| 96127 |
|
13 |
12 |
$13.84 |
| 90619 |
|
119 |
119 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90656 |
|
136 |
136 |
$0.00 |
| 90671 |
|
53 |
53 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |