| 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 |
3,030 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,124 |
1,918 |
$164K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,328 |
2,080 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
998 |
901 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,095 |
1,817 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
793 |
754 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,678 |
1,489 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
60 |
$6K |
| 87807 |
|
487 |
423 |
$5K |
| 81025 |
|
793 |
715 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
94 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
46 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
30 |
$3K |
| 81002 |
|
844 |
771 |
$2K |
| 90686 |
|
102 |
95 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
84 |
67 |
$1K |
| 99000 |
|
32 |
32 |
$814.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$725.10 |
| 86318 |
|
43 |
41 |
$708.11 |
| 87808 |
|
37 |
36 |
$569.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
29 |
$554.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
30 |
$371.81 |
| 87905 |
|
33 |
30 |
$341.52 |
| 90700 |
|
42 |
26 |
$279.04 |
| 99173 |
|
35 |
31 |
$260.75 |
| 90670 |
|
20 |
16 |
$135.04 |
| 90648 |
|
18 |
15 |
$120.96 |
| 90713 |
|
15 |
12 |
$101.12 |
| 36415 |
Collection of venous blood by venipuncture |
406 |
343 |
$92.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
173 |
132 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 90656 |
|
20 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
50 |
$0.00 |