| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,690 |
2,396 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,100 |
1,916 |
$69K |
| 90682 |
|
74 |
73 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
527 |
520 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
154 |
$2K |
| 81002 |
|
447 |
436 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 0012A |
|
14 |
14 |
$533.69 |
| 0011A |
|
14 |
14 |
$509.60 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
54 |
53 |
$461.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$438.75 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
44 |
$368.98 |
| 87428 |
|
14 |
13 |
$281.82 |
| 90686 |
|
45 |
45 |
$208.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$126.00 |
| 3074F |
|
390 |
389 |
$0.62 |
| 3078F |
|
318 |
297 |
$0.56 |
| 2014F |
|
283 |
259 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
347 |
345 |
$0.00 |
| 91301 |
|
36 |
36 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
135 |
135 |
$0.00 |
| 1003F |
|
393 |
367 |
$0.00 |
| 3016F |
|
13 |
13 |
$0.00 |