| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,987 |
8,163 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,966 |
9,686 |
$1.33M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,181 |
1,107 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,004 |
865 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
489 |
463 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
834 |
684 |
$111K |
| 87428 |
|
1,257 |
1,060 |
$48K |
| 99000 |
|
1,444 |
961 |
$23K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
618 |
577 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,674 |
1,371 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
587 |
451 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
564 |
474 |
$8K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
308 |
209 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
186 |
177 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
36 |
30 |
$6K |
| 90686 |
|
2,050 |
1,759 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
215 |
$4K |
| 99381 |
|
16 |
15 |
$2K |
| 99001 |
|
81 |
74 |
$1K |
| 87807 |
|
107 |
69 |
$1K |
| 83718 |
|
103 |
99 |
$753.86 |
| 99173 |
|
241 |
215 |
$709.21 |
| 90670 |
|
542 |
476 |
$691.77 |
| 83655 |
|
74 |
60 |
$668.86 |
| 87420 |
|
12 |
12 |
$618.53 |
| 36416 |
|
801 |
695 |
$573.03 |
| 90651 |
|
171 |
152 |
$499.02 |
| 82465 |
|
103 |
99 |
$403.89 |
| 81003 |
|
170 |
137 |
$252.10 |
| 85018 |
|
82 |
64 |
$153.88 |
| 90715 |
|
48 |
43 |
$148.84 |
| 90674 |
|
18 |
15 |
$137.10 |
| 90633 |
|
93 |
75 |
$0.01 |
| 90698 |
|
137 |
125 |
$0.00 |
| 90656 |
|
87 |
85 |
$0.00 |
| 90680 |
|
151 |
132 |
$0.00 |
| 90723 |
|
63 |
57 |
$0.00 |
| 90733 |
|
12 |
12 |
$0.00 |
| 90734 |
|
56 |
51 |
$0.00 |
| 90681 |
|
23 |
21 |
$0.00 |
| 90648 |
|
84 |
72 |
$0.00 |
| 90710 |
|
28 |
24 |
$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) |
12 |
12 |
$0.00 |