| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,084 |
5,399 |
$485K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,815 |
4,990 |
$235K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
271 |
259 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
849 |
791 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
243 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
408 |
192 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
503 |
420 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 90686 |
|
316 |
308 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
35 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
60 |
$864.59 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$260.27 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
25 |
24 |
$172.41 |
| 96127 |
|
28 |
25 |
$168.62 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$137.97 |
| 0064A |
|
14 |
12 |
$111.63 |
| 90656 |
|
13 |
12 |
$59.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$12.03 |
| 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) |
76 |
64 |
$0.00 |
| 3008F |
|
48 |
39 |
$0.00 |