| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,362 |
7,694 |
$902K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,510 |
9,551 |
$746K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,021 |
5,534 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
885 |
804 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
776 |
715 |
$85K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
836 |
694 |
$32K |
| 96127 |
|
930 |
832 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
180 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
193 |
$23K |
| 96160 |
|
1,171 |
958 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,082 |
1,777 |
$18K |
| 92551 |
|
3,341 |
2,967 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,767 |
856 |
$15K |
| 99051 |
|
1,014 |
863 |
$7K |
| 99173 |
|
1,061 |
946 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
240 |
$5K |
| 36416 |
|
1,463 |
1,350 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$1K |
| 90686 |
|
2,645 |
2,516 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
25 |
$663.52 |
| 99188 |
|
26 |
26 |
$570.32 |
| 87807 |
|
64 |
54 |
$536.12 |
| 99177 |
|
25 |
25 |
$450.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$270.92 |
| 85018 |
|
326 |
282 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
27 |
27 |
$0.00 |
| G9920 |
Screening performed and negative |
111 |
101 |
$0.00 |
| 90461 |
|
963 |
794 |
$0.00 |
| 99072 |
|
1,786 |
1,641 |
$0.00 |
| 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) |
591 |
530 |
$0.00 |
| 90648 |
|
66 |
64 |
$0.00 |
| 90670 |
|
53 |
51 |
$0.00 |
| 90685 |
|
46 |
45 |
$0.00 |