| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,357 |
3,463 |
$1.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,311 |
1,935 |
$1.08M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,059 |
870 |
$457K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
312 |
$188K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
332 |
284 |
$169K |
| 99600 |
Unlisted home visit service or procedure |
436 |
289 |
$152K |
| W0037 |
|
4,057 |
4,057 |
$111K |
| 0071A |
|
141 |
133 |
$76K |
| 0072A |
|
127 |
125 |
$76K |
| 0002A |
|
141 |
140 |
$70K |
| 0001A |
|
225 |
172 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
105 |
95 |
$52K |
| 99215 |
Prolong outpt/office vis |
61 |
59 |
$27K |
| 0052A |
|
27 |
27 |
$16K |
| 99506 |
|
58 |
58 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
102 |
87 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
25 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
14 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
18 |
$0.00 |
| 91300 |
|
20 |
15 |
$0.00 |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$0.00 |