| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,420 |
52,429 |
$3.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,134 |
9,739 |
$875K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,662 |
10,647 |
$831K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,230 |
10,226 |
$799K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,065 |
24,833 |
$555K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,486 |
7,427 |
$526K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,325 |
5,321 |
$449K |
| 87428 |
|
5,902 |
5,803 |
$296K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,166 |
5,153 |
$190K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,813 |
13,541 |
$144K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,764 |
3,662 |
$97K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,492 |
1,473 |
$57K |
| 97802 |
|
11,486 |
11,459 |
$37K |
| 99401 |
|
4,126 |
3,956 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,211 |
2,847 |
$30K |
| 99402 |
|
2,050 |
1,958 |
$25K |
| G9007 |
Coordinated care fee, scheduled team conference |
234 |
234 |
$20K |
| 96127 |
|
5,307 |
5,264 |
$20K |
| 83655 |
|
1,529 |
1,526 |
$16K |
| 87807 |
|
1,319 |
1,289 |
$15K |
| 99381 |
|
203 |
203 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
590 |
582 |
$9K |
| 99383 |
|
108 |
108 |
$9K |
| 96160 |
|
4,445 |
4,435 |
$6K |
| 85018 |
|
1,713 |
1,710 |
$3K |
| 99442 |
|
78 |
76 |
$2K |
| 99382 |
|
28 |
28 |
$2K |
| 81002 |
|
774 |
754 |
$2K |
| 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) |
183 |
174 |
$1K |
| 92567 |
|
114 |
112 |
$1K |
| 17110 |
|
14 |
14 |
$1K |
| 99443 |
|
18 |
18 |
$887.84 |
| 99051 |
|
117 |
117 |
$638.75 |
| 99050 |
|
63 |
61 |
$377.54 |
| 90686 |
|
5,382 |
5,372 |
$314.39 |
| 86308 |
|
60 |
58 |
$234.88 |
| 90677 |
|
585 |
584 |
$194.94 |
| 90656 |
|
561 |
559 |
$133.28 |
| 90633 |
|
858 |
857 |
$75.96 |
| 94760 |
|
12 |
12 |
$7.57 |
| 90651 |
|
427 |
426 |
$5.01 |
| 36416 |
|
501 |
498 |
$2.24 |
| 90648 |
|
3,359 |
3,355 |
$0.13 |
| 90723 |
|
2,305 |
2,302 |
$0.10 |
| 90670 |
|
2,975 |
2,973 |
$0.08 |
| 90715 |
|
95 |
95 |
$0.01 |
| 90620 |
|
31 |
31 |
$0.01 |
| 99080 |
|
661 |
649 |
$0.00 |
| 99499 |
|
252 |
249 |
$0.00 |
| 90734 |
|
401 |
401 |
$0.00 |
| 90685 |
|
31 |
31 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90655 |
|
34 |
34 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90680 |
|
1,201 |
1,199 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 90697 |
|
52 |
52 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |