| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,868 |
2,451 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,276 |
1,894 |
$92K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
100 |
66 |
$3K |
| 90686 |
|
158 |
141 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 0001A |
|
88 |
63 |
$1K |
| 0002A |
|
84 |
61 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$884.60 |
| 99441 |
|
26 |
18 |
$494.09 |
| 96127 |
|
77 |
61 |
$262.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
15 |
$195.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$130.54 |
| 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) |
56 |
47 |
$112.43 |
| 81002 |
|
84 |
77 |
$3.41 |
| 1036F |
|
1,969 |
1,599 |
$0.00 |
| 3075F |
|
349 |
308 |
$0.00 |
| 3074F |
|
1,693 |
1,441 |
$0.00 |
| 3008F |
|
2,921 |
2,519 |
$0.00 |
| 3079F |
|
554 |
480 |
$0.00 |
| 1034F |
|
97 |
85 |
$0.00 |
| 3080F |
|
38 |
37 |
$0.00 |
| 2000F |
|
47 |
45 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
478 |
401 |
$0.00 |
| 3078F |
|
1,633 |
1,397 |
$0.00 |
| 91300 |
|
92 |
66 |
$0.00 |
| 3077F |
|
29 |
25 |
$0.00 |
| 99072 |
|
43 |
41 |
$0.00 |
| 99173 |
|
47 |
39 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
13 |
$0.00 |