| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,535 |
11,048 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,832 |
5,618 |
$302K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,324 |
3,241 |
$298K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,067 |
3,012 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,789 |
2,680 |
$207K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,415 |
1,402 |
$126K |
| 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) |
3,897 |
3,783 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,791 |
1,647 |
$34K |
| 90686 |
|
2,516 |
2,447 |
$21K |
| 90670 |
|
1,564 |
1,548 |
$14K |
| 90723 |
|
1,402 |
1,378 |
$13K |
| 90647 |
|
1,283 |
1,271 |
$12K |
| 90680 |
|
1,114 |
1,092 |
$10K |
| 99215 |
Prolong outpt/office vis |
118 |
116 |
$9K |
| 90633 |
|
779 |
775 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
678 |
655 |
$6K |
| 90715 |
|
438 |
409 |
$5K |
| 90677 |
|
780 |
765 |
$4K |
| 90651 |
|
330 |
327 |
$4K |
| 90656 |
|
546 |
544 |
$3K |
| 90734 |
|
215 |
213 |
$2K |
| 92551 |
|
4,176 |
4,112 |
$2K |
| 90710 |
|
159 |
159 |
$1K |
| 90696 |
|
128 |
128 |
$1K |
| 90700 |
|
112 |
112 |
$1K |
| 90732 |
|
28 |
28 |
$1K |
| 90707 |
|
95 |
95 |
$950.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$851.75 |
| 90716 |
|
85 |
85 |
$792.70 |
| 90648 |
|
74 |
74 |
$714.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
43 |
$539.04 |
| 83655 |
|
1,257 |
1,244 |
$345.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
47 |
$325.17 |
| 99177 |
|
2,295 |
2,258 |
$274.64 |
| G0010 |
Administration of hepatitis b vaccine |
28 |
25 |
$267.50 |
| 99173 |
|
867 |
862 |
$255.30 |
| 90681 |
|
21 |
21 |
$195.10 |
| 96127 |
|
832 |
819 |
$156.70 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$138.70 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$122.05 |
| 93793 |
|
17 |
14 |
$100.35 |
| 85610 |
|
19 |
15 |
$75.38 |
| 80061 |
Lipid panel |
95 |
95 |
$64.40 |
| 85018 |
|
101 |
100 |
$61.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
369 |
352 |
$36.18 |
| 96160 |
|
421 |
418 |
$17.95 |
| 90739 |
|
467 |
453 |
$0.00 |
| 3008F |
|
84 |
82 |
$0.00 |
| 86580 |
|
19 |
15 |
$0.00 |
| 90381 |
|
18 |
18 |
$0.00 |