| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,144 |
2,625 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
931 |
817 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,358 |
1,324 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
563 |
538 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
510 |
502 |
$52K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
413 |
361 |
$28K |
| 90461 |
|
621 |
576 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
149 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
564 |
275 |
$9K |
| 90698 |
|
166 |
165 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
82 |
$5K |
| 90671 |
|
111 |
110 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
151 |
$2K |
| 96127 |
|
447 |
387 |
$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) |
195 |
177 |
$624.07 |
| 90716 |
|
43 |
41 |
$326.55 |
| 90707 |
|
44 |
42 |
$177.39 |
| 94760 |
|
13 |
12 |
$31.20 |
| 90686 |
|
203 |
195 |
$21.09 |
| S8301 |
Infection control supplies, not otherwise specified |
474 |
222 |
$0.00 |
| 90680 |
|
129 |
129 |
$0.00 |
| 90677 |
|
49 |
49 |
$0.00 |
| 90744 |
|
52 |
49 |
$0.00 |
| 90670 |
|
117 |
112 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |