| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,896 |
26,218 |
$3.66M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,388 |
12,711 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,649 |
14,659 |
$1.16M |
| 99199 |
Unlisted special service, procedure or report |
193,293 |
114,173 |
$1.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,806 |
5,879 |
$600K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,417 |
4,559 |
$489K |
| 99215 |
Prolong outpt/office vis |
2,922 |
2,410 |
$482K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,829 |
4,827 |
$468K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,673 |
4,940 |
$435K |
| 99205 |
Prolong outpt/office vis |
1,448 |
1,200 |
$283K |
| 99051 |
|
9,883 |
8,153 |
$197K |
| 92552 |
|
14,834 |
12,565 |
$197K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,977 |
12,319 |
$192K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,579 |
2,943 |
$180K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,594 |
19,290 |
$176K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,340 |
3,611 |
$95K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,222 |
2,796 |
$76K |
| 99070 |
|
8,946 |
7,133 |
$57K |
| 90651 |
|
2,548 |
2,020 |
$51K |
| 96127 |
|
10,997 |
9,416 |
$45K |
| 90647 |
|
3,623 |
2,973 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,080 |
2,533 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,808 |
1,448 |
$34K |
| D1206 |
Topical application of fluoride varnish |
3,225 |
2,791 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,266 |
928 |
$32K |
| 86769 |
|
1,106 |
856 |
$29K |
| 90696 |
|
953 |
793 |
$24K |
| 90734 |
|
2,251 |
1,755 |
$22K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
703 |
564 |
$10K |
| 90621 |
|
986 |
822 |
$7K |
| 99173 |
|
14,863 |
12,552 |
$7K |
| 90474 |
|
602 |
489 |
$7K |
| 99443 |
|
51 |
43 |
$6K |
| 90686 |
|
5,519 |
4,684 |
$6K |
| 87807 |
|
500 |
366 |
$6K |
| 90461 |
|
1,521 |
1,273 |
$5K |
| 81002 |
|
1,952 |
1,618 |
$5K |
| 0001A |
|
81 |
69 |
$4K |
| 90715 |
|
1,027 |
769 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
28 |
$3K |
| 99383 |
|
34 |
26 |
$2K |
| 99442 |
|
26 |
25 |
$2K |
| 99441 |
|
26 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
75 |
$2K |
| 90670 |
|
5,085 |
4,191 |
$1K |
| 69210 |
|
35 |
25 |
$797.17 |
| 90633 |
|
2,606 |
2,182 |
$506.08 |
| 90723 |
|
3,556 |
2,942 |
$366.34 |
| 90672 |
|
118 |
99 |
$307.32 |
| 90680 |
|
3,387 |
2,766 |
$285.75 |
| 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) |
90 |
90 |
$211.66 |
| 90710 |
|
2,438 |
2,017 |
$150.00 |
| 94664 |
|
16 |
12 |
$100.17 |
| 90700 |
|
804 |
682 |
$35.77 |
| 3008F |
|
62 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
96 |
$0.00 |
| 90697 |
|
288 |
220 |
$0.00 |
| 90656 |
|
121 |
121 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 99000 |
|
19 |
19 |
$0.00 |
| 3074F |
|
40 |
40 |
$0.00 |
| 1160F |
|
142 |
137 |
$0.00 |
| 90685 |
|
981 |
845 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
100 |
62 |
$0.00 |
| 91300 |
|
73 |
60 |
$0.00 |
| 3078F |
|
62 |
62 |
$0.00 |
| G9920 |
Screening performed and negative |
26 |
25 |
$0.00 |