| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,491 |
5,432 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
3,328 |
$254K |
| 90686 |
|
691 |
571 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
91 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
74 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
330 |
274 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
55 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
122 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
105 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
140 |
$2K |
| 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 |
95 |
86 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$953.91 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$843.78 |
| 90734 |
|
15 |
15 |
$349.90 |
| 90651 |
|
17 |
15 |
$307.62 |
| 36415 |
Collection of venous blood by venipuncture |
1,204 |
1,107 |
$269.60 |
| 90696 |
|
12 |
12 |
$242.50 |
| 81003 |
|
90 |
81 |
$188.88 |
| 83655 |
|
12 |
12 |
$142.32 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$95.76 |
| 90670 |
|
12 |
12 |
$76.80 |
| 81002 |
|
25 |
13 |
$65.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$4.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
104 |
$0.00 |