| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,886 |
28,129 |
$1.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,700 |
3,480 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,493 |
1,483 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,548 |
1,476 |
$108K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,956 |
1,946 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
998 |
992 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
852 |
836 |
$71K |
| 97802 |
|
2,342 |
2,294 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,324 |
2,306 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,732 |
3,698 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
324 |
318 |
$27K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
93 |
92 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,421 |
2,395 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
208 |
206 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
573 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
919 |
897 |
$12K |
| 87428 |
|
218 |
217 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,002 |
897 |
$9K |
| 96127 |
|
2,156 |
2,136 |
$5K |
| 90686 |
|
616 |
615 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
128 |
$4K |
| 82570 |
|
780 |
750 |
$3K |
| 81003 |
|
1,354 |
1,309 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
97 |
$2K |
| 90474 |
|
112 |
112 |
$1K |
| 90670 |
|
1,016 |
1,004 |
$650.58 |
| 90677 |
|
95 |
95 |
$586.70 |
| 90656 |
|
48 |
47 |
$559.87 |
| 81025 |
|
42 |
41 |
$246.13 |
| 90651 |
|
88 |
86 |
$229.34 |
| 90734 |
|
12 |
12 |
$128.85 |
| 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) |
16 |
14 |
$62.65 |
| 90715 |
|
12 |
12 |
$39.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$11.73 |
| 3008F |
|
6,999 |
6,861 |
$1.46 |
| 3074F |
|
1,161 |
1,051 |
$0.46 |
| 3078F |
|
983 |
890 |
$0.38 |
| 3079F |
|
358 |
342 |
$0.30 |
| 3075F |
|
158 |
156 |
$0.24 |
| 3080F |
|
113 |
109 |
$0.17 |
| 3077F |
|
135 |
131 |
$0.15 |
| 3351F |
|
93 |
92 |
$0.11 |
| 90698 |
|
601 |
601 |
$0.00 |
| 90680 |
|
372 |
371 |
$0.00 |
| 90716 |
|
149 |
149 |
$0.00 |
| 90744 |
|
201 |
201 |
$0.00 |
| 90723 |
|
17 |
17 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
22 |
22 |
$0.00 |
| G9920 |
Screening performed and negative |
214 |
214 |
$0.00 |
| 90707 |
|
173 |
173 |
$0.00 |
| 90633 |
|
219 |
218 |
$0.00 |
| 99401 |
|
208 |
199 |
$0.00 |
| 90648 |
|
50 |
45 |
$0.00 |
| 90685 |
|
63 |
61 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |