| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,755 |
2,211 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,089 |
$95K |
| 92567 |
|
2,678 |
2,414 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,767 |
1,714 |
$37K |
| 92587 |
|
1,214 |
1,208 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
129 |
$13K |
| 99215 |
Prolong outpt/office vis |
72 |
65 |
$11K |
| 97802 |
|
818 |
817 |
$10K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
544 |
542 |
$10K |
| 99051 |
|
1,510 |
1,357 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
140 |
131 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
662 |
658 |
$5K |
| 96127 |
|
731 |
723 |
$5K |
| 96160 |
|
1,372 |
1,368 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$3K |
| 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) |
102 |
95 |
$909.75 |
| 99173 |
|
609 |
609 |
$731.30 |
| H0049 |
Alcohol and/or drug screening |
80 |
80 |
$653.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
29 |
$533.54 |
| 94760 |
|
238 |
211 |
$531.23 |
| 90461 |
|
37 |
37 |
$377.74 |
| 90686 |
|
253 |
252 |
$264.61 |
| 85018 |
|
127 |
126 |
$181.81 |
| 90656 |
|
48 |
48 |
$134.10 |
| 99072 |
|
140 |
129 |
$102.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$92.85 |
| 99174 |
|
667 |
667 |
$59.16 |
| 36416 |
|
135 |
134 |
$0.00 |