| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,799 |
7,229 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,370 |
4,793 |
$188K |
| 90838 |
|
1,481 |
957 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
407 |
$25K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
909 |
725 |
$24K |
| 99497 |
|
873 |
684 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
536 |
382 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
168 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
274 |
$8K |
| 92551 |
|
1,437 |
1,279 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
586 |
403 |
$6K |
| 99173 |
|
1,398 |
1,253 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
541 |
317 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
624 |
498 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
67 |
$4K |
| 96127 |
|
1,318 |
748 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
61 |
$3K |
| 99215 |
Prolong outpt/office vis |
76 |
46 |
$3K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
46 |
37 |
$2K |
| 96160 |
|
176 |
148 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
13 |
$2K |
| 90686 |
|
322 |
253 |
$2K |
| 0011A |
|
45 |
27 |
$918.58 |
| G0008 |
Administration of influenza virus vaccine |
318 |
245 |
$885.57 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
67 |
$868.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$419.52 |
| 36415 |
Collection of venous blood by venipuncture |
316 |
247 |
$309.77 |
| 90674 |
|
24 |
19 |
$259.85 |
| 0012A |
|
19 |
17 |
$240.00 |
| 93922 |
|
21 |
14 |
$233.74 |
| 94010 |
|
14 |
13 |
$222.37 |
| 93000 |
|
19 |
18 |
$203.56 |
| 80305 |
|
17 |
14 |
$71.10 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
37 |
25 |
$33.23 |
| 82962 |
|
60 |
37 |
$32.54 |
| 91301 |
|
55 |
40 |
$0.05 |