| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
2,061 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,089 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
578 |
542 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
677 |
646 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
64 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
103 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
317 |
302 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
94 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
40 |
$1K |
| 0001A |
|
16 |
16 |
$640.00 |
| 0002A |
|
14 |
14 |
$558.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
25 |
$372.36 |
| 96160 |
|
151 |
149 |
$297.80 |
| 0011A |
|
21 |
12 |
$158.30 |
| 90686 |
|
128 |
124 |
$128.11 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
117 |
104 |
$80.38 |
| 99000 |
|
17 |
16 |
$80.00 |
| 90661 |
|
38 |
36 |
$0.09 |
| 97802 |
|
895 |
873 |
$0.00 |
| 3008F |
|
473 |
408 |
$0.00 |
| 90674 |
|
152 |
151 |
$0.00 |
| 3074F |
|
72 |
61 |
$0.00 |
| 3078F |
|
40 |
32 |
$0.00 |
| 91300 |
|
45 |
39 |
$0.00 |