| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,351 |
3,887 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,519 |
1,421 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,292 |
1,154 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
915 |
900 |
$98K |
| 90686 |
|
1,390 |
1,360 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
215 |
$23K |
| 90648 |
|
659 |
656 |
$14K |
| 90670 |
|
480 |
479 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
72 |
$9K |
| 90700 |
|
224 |
222 |
$5K |
| 90680 |
|
210 |
209 |
$5K |
| 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) |
208 |
203 |
$4K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$3K |
| 87428 |
|
48 |
45 |
$2K |
| 90672 |
|
85 |
84 |
$2K |
| 96127 |
|
340 |
330 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
107 |
$2K |
| 96160 |
|
544 |
532 |
$2K |
| 90677 |
|
73 |
73 |
$2K |
| 99173 |
|
447 |
440 |
$1K |
| 90723 |
|
54 |
54 |
$1K |
| 99174 |
|
270 |
269 |
$970.90 |
| 90633 |
|
42 |
42 |
$922.32 |
| 90710 |
|
37 |
37 |
$768.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
47 |
$750.45 |
| 96161 |
|
260 |
230 |
$621.80 |
| 90671 |
|
30 |
30 |
$549.00 |
| 90713 |
|
25 |
24 |
$527.04 |
| 0002A |
|
13 |
13 |
$520.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90651 |
|
15 |
15 |
$329.40 |
| 85018 |
|
13 |
12 |
$11.62 |
| 99072 |
|
23 |
23 |
$6.30 |
| 36416 |
|
14 |
13 |
$3.50 |
| 99050 |
|
25 |
24 |
$0.00 |