| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,041 |
1,932 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,438 |
1,353 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,959 |
1,904 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
213 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
124 |
$6K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$3K |
| 99051 |
|
380 |
360 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
105 |
$1K |
| 90686 |
|
848 |
835 |
$1K |
| 99484 |
|
44 |
44 |
$1K |
| 90473 |
|
83 |
81 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
110 |
$490.23 |
| 91307 |
|
55 |
48 |
$320.08 |
| 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) |
236 |
225 |
$178.64 |
| 87428 |
|
19 |
16 |
$166.15 |
| 90672 |
|
88 |
86 |
$148.67 |
| 96127 |
|
104 |
99 |
$124.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$90.84 |
| 0071A |
|
24 |
24 |
$80.01 |
| 36416 |
|
132 |
120 |
$59.33 |
| 87430 |
|
13 |
13 |
$49.08 |
| 0072A |
|
26 |
26 |
$40.00 |
| 96161 |
|
40 |
39 |
$26.04 |
| 90656 |
|
44 |
44 |
$17.93 |
| 99177 |
|
46 |
45 |
$5.03 |
| 90723 |
|
61 |
59 |
$0.00 |
| 90474 |
|
17 |
16 |
$0.00 |
| 90680 |
|
16 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
555 |
536 |
$0.00 |
| 90670 |
|
93 |
90 |
$0.00 |
| 90648 |
|
80 |
79 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90671 |
|
42 |
41 |
$0.00 |
| 99173 |
|
86 |
84 |
$0.00 |