| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,175 |
2,626 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
1,103 |
$98K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
860 |
683 |
$7K |
| 90686 |
|
606 |
523 |
$6K |
| 87428 |
|
214 |
202 |
$6K |
| 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) |
961 |
786 |
$6K |
| 96160 |
|
1,715 |
1,130 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
202 |
161 |
$5K |
| 0002A |
|
139 |
131 |
$5K |
| 0001A |
|
164 |
147 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
101 |
87 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
225 |
$3K |
| 92551 |
|
353 |
325 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 0072A |
|
70 |
69 |
$3K |
| 0071A |
|
81 |
71 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,297 |
996 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
26 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90656 |
|
95 |
84 |
$984.58 |
| 96127 |
|
86 |
69 |
$508.67 |
| 0124A |
|
22 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
370 |
314 |
$456.40 |
| 0003A |
|
14 |
14 |
$444.00 |
| 99173 |
|
158 |
147 |
$311.22 |
| 99000 |
|
42 |
40 |
$128.80 |
| 90461 |
|
140 |
95 |
$95.20 |
| 99072 |
|
1,816 |
1,539 |
$4.00 |
| 91300 |
|
357 |
307 |
$2.29 |
| 91307 |
|
153 |
135 |
$1.08 |
| 91312 |
|
22 |
12 |
$0.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99051 |
|
165 |
144 |
$0.00 |