| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,753 |
4,368 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,418 |
2,587 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,454 |
1,715 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,641 |
1,232 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,397 |
1,039 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,721 |
1,857 |
$55K |
| 96127 |
|
2,982 |
2,155 |
$53K |
| 92558 |
|
3,726 |
2,652 |
$46K |
| D1206 |
Topical application of fluoride varnish |
1,472 |
1,024 |
$40K |
| 87428 |
|
596 |
528 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
407 |
314 |
$35K |
| 90686 |
|
2,230 |
1,543 |
$25K |
| 99173 |
|
2,893 |
2,057 |
$22K |
| 90670 |
|
902 |
710 |
$12K |
| 90698 |
|
734 |
527 |
$11K |
| 83655 |
|
723 |
522 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
149 |
$6K |
| 90677 |
|
288 |
232 |
$6K |
| 90633 |
|
362 |
243 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
232 |
$5K |
| 96160 |
|
314 |
239 |
$4K |
| 90744 |
|
262 |
207 |
$4K |
| 36416 |
|
914 |
530 |
$3K |
| 90656 |
|
196 |
191 |
$3K |
| 97803 |
|
412 |
213 |
$3K |
| 85018 |
|
1,217 |
839 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
66 |
48 |
$3K |
| 90680 |
|
208 |
173 |
$2K |
| 90651 |
|
151 |
107 |
$2K |
| 90707 |
|
166 |
108 |
$2K |
| 80061 |
Lipid panel |
265 |
185 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
48 |
$2K |
| 0072A |
|
34 |
33 |
$2K |
| 0071A |
|
32 |
28 |
$1K |
| 90696 |
|
92 |
67 |
$1K |
| 90716 |
|
91 |
59 |
$1K |
| 82947 |
|
284 |
198 |
$1K |
| 81003 |
|
370 |
209 |
$825.73 |
| 90710 |
|
42 |
36 |
$716.90 |
| 90619 |
|
40 |
27 |
$680.88 |
| 90734 |
|
32 |
30 |
$640.94 |
| 81002 |
|
245 |
149 |
$628.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
15 |
$458.70 |
| 90715 |
|
16 |
15 |
$280.60 |
| 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) |
37 |
36 |
$218.75 |
| 90380 |
|
12 |
12 |
$208.38 |
| 87807 |
|
13 |
12 |
$137.61 |
| 99051 |
|
137 |
77 |
$115.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
432 |
204 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
406 |
194 |
$0.00 |
| 99000 |
|
65 |
45 |
$0.00 |