| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,120 |
16,071 |
$407K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,484 |
4,061 |
$292K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,086 |
3,962 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,447 |
4,084 |
$187K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,858 |
2,768 |
$141K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,907 |
1,879 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
970 |
948 |
$36K |
| 87428 |
|
329 |
323 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,374 |
9,015 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
503 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
508 |
502 |
$5K |
| 90677 |
|
619 |
596 |
$4K |
| 92551 |
|
3,116 |
3,038 |
$3K |
| 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) |
336 |
302 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
45 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
239 |
233 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99173 |
|
6,408 |
6,187 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
54 |
$669.18 |
| 90686 |
|
2,708 |
2,569 |
$377.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
502 |
473 |
$305.53 |
| 97802 |
|
524 |
493 |
$292.95 |
| 99177 |
|
29 |
29 |
$292.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,300 |
1,244 |
$254.75 |
| 90670 |
|
2,512 |
2,335 |
$199.88 |
| 96127 |
|
59 |
59 |
$161.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$66.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,113 |
1,069 |
$7.20 |
| 90680 |
|
1,633 |
1,519 |
$0.00 |
| 90698 |
|
914 |
822 |
$0.00 |
| 90656 |
|
233 |
228 |
$0.00 |
| 90651 |
|
240 |
229 |
$0.00 |
| 90697 |
|
530 |
502 |
$0.00 |
| 90619 |
|
15 |
14 |
$0.00 |
| 90744 |
|
351 |
314 |
$0.00 |
| 90696 |
|
26 |
25 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90381 |
|
15 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
59 |
57 |
$0.00 |
| 90688 |
|
116 |
115 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
15 |
15 |
$0.00 |
| 90633 |
|
1,041 |
985 |
$0.00 |
| S9999 |
Sales tax |
7,153 |
6,400 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90648 |
|
189 |
179 |
$0.00 |
| 90685 |
|
47 |
44 |
$0.00 |
| 90700 |
|
55 |
54 |
$0.00 |
| 1160F |
|
92 |
87 |
$0.00 |
| 1159F |
|
125 |
114 |
$0.00 |
| 90687 |
|
14 |
12 |
$0.00 |
| 90461 |
|
17 |
16 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |