| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,850 |
11,614 |
$495K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,359 |
1,217 |
$63K |
| 99460 |
|
476 |
427 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
614 |
581 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
380 |
340 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
268 |
225 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
127 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
157 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
63 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
50 |
$396.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$392.76 |
| 96161 |
|
149 |
141 |
$307.05 |
| 96127 |
|
29 |
24 |
$81.48 |
| 90656 |
|
13 |
13 |
$0.16 |
| 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) |
1,095 |
1,008 |
$0.00 |
| 99051 |
|
19 |
14 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
44 |
44 |
$0.00 |
| 90677 |
|
21 |
21 |
$0.00 |