| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,956 |
11,970 |
$661K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,977 |
5,747 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,322 |
611 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
378 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,207 |
901 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
249 |
224 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,082 |
1,547 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
710 |
610 |
$8K |
| 87400 |
|
703 |
555 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
65 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
67 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
378 |
164 |
$2K |
| 81002 |
|
726 |
623 |
$1K |
| 99050 |
|
170 |
117 |
$711.01 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$88.10 |
| 87081 |
|
17 |
17 |
$68.51 |
| 90658 |
|
28 |
28 |
$60.00 |
| 85018 |
|
13 |
12 |
$1.62 |
| G8484 |
Influenza immunization was not administered, reason not given |
38 |
25 |
$0.00 |
| 3078F |
|
88 |
63 |
$0.00 |
| 99173 |
|
1,026 |
825 |
$0.00 |
| 99001 |
|
28 |
26 |
$0.00 |
| 90461 |
|
26 |
26 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 99000 |
|
995 |
553 |
$0.00 |
| 3074F |
|
149 |
90 |
$0.00 |
| 92551 |
|
999 |
799 |
$0.00 |
| 3008F |
|
1,225 |
724 |
$0.00 |
| 93790 |
|
34 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
54 |
$0.00 |
| 1036F |
|
86 |
73 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
30 |
17 |
$0.00 |