| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,779 |
4,267 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,011 |
3,592 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
979 |
965 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
992 |
968 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
701 |
660 |
$51K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,669 |
1,169 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
405 |
377 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,196 |
633 |
$16K |
| 92552 |
|
484 |
461 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
936 |
889 |
$12K |
| 90670 |
|
507 |
490 |
$8K |
| 99173 |
|
2,423 |
2,334 |
$5K |
| 90723 |
|
324 |
310 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
560 |
520 |
$4K |
| 90651 |
|
185 |
175 |
$4K |
| 90686 |
|
312 |
309 |
$4K |
| 90716 |
|
156 |
154 |
$3K |
| 90688 |
|
225 |
222 |
$3K |
| 90647 |
|
233 |
220 |
$3K |
| 99000 |
|
1,122 |
1,046 |
$3K |
| 90687 |
|
189 |
183 |
$2K |
| 90707 |
|
143 |
141 |
$2K |
| 96127 |
|
448 |
416 |
$2K |
| 90633 |
|
156 |
153 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
168 |
$2K |
| 90461 |
|
354 |
329 |
$2K |
| 90619 |
|
30 |
30 |
$1K |
| 90734 |
|
117 |
116 |
$1K |
| 87807 |
|
85 |
81 |
$1K |
| 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) |
86 |
80 |
$840.39 |
| 90715 |
|
38 |
38 |
$509.26 |
| 90696 |
|
28 |
28 |
$288.54 |
| 90681 |
|
14 |
13 |
$143.00 |
| 83655 |
|
12 |
12 |
$135.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$54.40 |
| 99051 |
|
16 |
15 |
$0.00 |