| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,941 |
19,370 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,568 |
5,169 |
$431K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,777 |
1,639 |
$140K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,524 |
1,406 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,072 |
977 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,557 |
2,490 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,527 |
1,432 |
$18K |
| 90686 |
|
1,667 |
1,597 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,067 |
1,013 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
94 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
707 |
637 |
$8K |
| 90461 |
|
1,055 |
578 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$4K |
| 87430 |
|
242 |
239 |
$3K |
| 99491 |
Ccm add 20min |
59 |
57 |
$3K |
| 93000 |
|
189 |
181 |
$2K |
| 0011A |
|
60 |
59 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| 94729 |
|
58 |
36 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
18 |
$1K |
| 0003A |
|
37 |
37 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 94727 |
|
58 |
36 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$1K |
| 94060 |
|
58 |
36 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
33 |
$793.79 |
| 99490 |
Ccm add 20min |
19 |
19 |
$576.34 |
| 0001A |
|
14 |
14 |
$520.00 |
| 90649 |
|
15 |
15 |
$496.47 |
| 99401 |
|
12 |
12 |
$364.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$315.48 |
| 90658 |
|
15 |
15 |
$267.25 |
| 99441 |
|
14 |
13 |
$158.76 |
| 86580 |
|
14 |
12 |
$115.11 |
| 90633 |
|
16 |
16 |
$93.90 |
| 83655 |
|
18 |
16 |
$64.43 |
| G0008 |
Administration of influenza virus vaccine |
33 |
32 |
$10.90 |
| 82962 |
|
13 |
12 |
$8.56 |
| 3078F |
|
562 |
520 |
$3.00 |
| 3074F |
|
677 |
626 |
$1.00 |
| 91300 |
|
149 |
144 |
$0.00 |
| 90670 |
|
40 |
40 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 3077F |
|
17 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
44 |
38 |
$0.00 |
| 3008F |
|
107 |
86 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,124 |
1,400 |
$0.00 |
| 3044F |
|
141 |
127 |
$0.00 |
| 3079F |
|
191 |
177 |
$0.00 |
| 91301 |
|
173 |
169 |
$0.00 |
| 3075F |
|
65 |
62 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
44 |
40 |
$0.00 |