| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,455 |
3,309 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,681 |
2,639 |
$127K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
579 |
571 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
491 |
471 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
429 |
285 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
249 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
143 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
524 |
521 |
$10K |
| 92551 |
|
614 |
614 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 96127 |
|
493 |
473 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
62 |
62 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$1K |
| 0072A |
|
32 |
32 |
$1K |
| 90461 |
|
38 |
38 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
81 |
$964.15 |
| 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) |
141 |
140 |
$762.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$614.01 |
| 90686 |
|
769 |
768 |
$261.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$226.65 |
| 90473 |
|
13 |
13 |
$214.44 |
| S8301 |
Infection control supplies, not otherwise specified |
941 |
905 |
$185.48 |
| 96160 |
|
98 |
98 |
$124.12 |
| 36416 |
|
155 |
155 |
$32.47 |
| 99173 |
|
1,245 |
1,245 |
$13.32 |
| 99499 |
|
135 |
135 |
$9.17 |
| 3008F |
|
525 |
524 |
$0.00 |
| 99174 |
|
14 |
14 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99072 |
|
1,436 |
1,361 |
$0.00 |
| 1159F |
|
478 |
475 |
$0.00 |
| 1160F |
|
478 |
475 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 99080 |
|
44 |
44 |
$0.00 |
| 90672 |
|
46 |
46 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
41 |
41 |
$0.00 |