| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,433 |
3,595 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
587 |
$81K |
| 90686 |
|
950 |
854 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
144 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
48 |
$5K |
| 0071A |
|
121 |
121 |
$5K |
| 0002A |
|
104 |
99 |
$4K |
| 0072A |
|
96 |
95 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
117 |
$3K |
| 0001A |
|
42 |
36 |
$2K |
| 90656 |
|
70 |
67 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
28 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 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) |
39 |
39 |
$605.16 |
| 0004A |
|
15 |
14 |
$560.00 |
| 96127 |
|
106 |
92 |
$445.36 |
| 90688 |
|
12 |
12 |
$279.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$198.30 |
| 92551 |
|
14 |
14 |
$136.08 |
| 99173 |
|
17 |
17 |
$44.20 |
| 3074F |
|
992 |
911 |
$0.12 |
| 3078F |
|
957 |
888 |
$0.12 |
| 1160F |
|
3,851 |
3,217 |
$0.01 |
| 1159F |
|
3,836 |
3,204 |
$0.01 |
| 3008F |
|
2,039 |
1,868 |
$0.00 |
| 1036F |
|
265 |
228 |
$0.00 |
| 3725F |
|
27 |
25 |
$0.00 |