| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,301 |
4,942 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,197 |
7,658 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
344 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,313 |
1,037 |
$18K |
| 80305 |
|
2,729 |
2,248 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
200 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
398 |
335 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
276 |
195 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
76 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
278 |
140 |
$3K |
| 90686 |
|
364 |
297 |
$663.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$624.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
16 |
$401.64 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
57 |
39 |
$306.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$278.12 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$240.00 |
| 99490 |
Ccm add 20min |
52 |
32 |
$40.99 |
| 36415 |
Collection of venous blood by venipuncture |
322 |
267 |
$5.97 |
| 1111F |
|
20 |
15 |
$0.00 |
| 1036F |
|
16 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
14 |
$0.00 |
| 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) |
131 |
116 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
14 |
$0.00 |