| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22,153 |
20,479 |
$575K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,664 |
8,384 |
$472K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,773 |
8,196 |
$371K |
| 0001A |
|
5,149 |
4,991 |
$207K |
| 0002A |
|
3,541 |
3,454 |
$150K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
68 |
65 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
394 |
387 |
$13K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
33 |
31 |
$13K |
| 0004A |
|
781 |
778 |
$11K |
| 80305 |
|
451 |
391 |
$7K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
20 |
20 |
$6K |
| 90686 |
|
729 |
714 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
112 |
$4K |
| 90651 |
|
57 |
56 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
389 |
384 |
$4K |
| 0054A |
|
119 |
117 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
216 |
$2K |
| 0124A |
|
111 |
111 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 0052A |
|
47 |
47 |
$1K |
| 0051A |
|
27 |
27 |
$1K |
| 90707 |
|
12 |
12 |
$619.00 |
| 3074F |
|
71 |
71 |
$585.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$382.90 |
| 3078F |
|
55 |
54 |
$320.00 |
| 86580 |
|
18 |
13 |
$173.78 |
| 90656 |
|
95 |
94 |
$169.60 |
| 3080F |
|
30 |
30 |
$150.00 |
| 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) |
99 |
96 |
$127.36 |
| 91320 |
|
12 |
12 |
$0.00 |
| 3008F |
|
343 |
338 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |