| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,597 |
12,957 |
$670K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,114 |
4,867 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
969 |
952 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
855 |
844 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
786 |
703 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
440 |
$40K |
| 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) |
4,591 |
4,427 |
$39K |
| 99215 |
Prolong outpt/office vis |
339 |
327 |
$24K |
| 90686 |
|
1,475 |
1,464 |
$14K |
| G0008 |
Administration of influenza virus vaccine |
639 |
629 |
$6K |
| 0124A |
|
111 |
95 |
$4K |
| 0001A |
|
88 |
88 |
$4K |
| 0002A |
|
60 |
60 |
$2K |
| 90647 |
|
239 |
239 |
$2K |
| 90670 |
|
229 |
228 |
$2K |
| 90723 |
|
187 |
187 |
$2K |
| 0054A |
|
38 |
38 |
$2K |
| 90677 |
|
280 |
279 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
46 |
$956.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
143 |
$917.05 |
| 0004A |
|
21 |
21 |
$862.80 |
| 90633 |
|
64 |
64 |
$635.20 |
| 90651 |
|
71 |
69 |
$561.20 |
| 90734 |
|
72 |
70 |
$535.80 |
| 0064A |
|
12 |
12 |
$499.20 |
| 90680 |
|
48 |
48 |
$471.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$436.80 |
| 90656 |
|
245 |
245 |
$426.20 |
| 92551 |
|
1,442 |
1,432 |
$412.26 |
| 99173 |
|
914 |
906 |
$261.19 |
| 99188 |
|
12 |
12 |
$228.96 |
| 96127 |
|
329 |
327 |
$221.47 |
| 99177 |
|
447 |
445 |
$121.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$120.79 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$105.36 |
| 80061 |
Lipid panel |
211 |
206 |
$48.30 |
| 83655 |
|
246 |
243 |
$40.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
110 |
$32.16 |
| 96160 |
|
108 |
108 |
$22.60 |
| 90739 |
|
89 |
88 |
$0.00 |
| 86580 |
|
55 |
45 |
$0.00 |
| 3008F |
|
27 |
27 |
$0.00 |
| 90715 |
|
129 |
129 |
$0.00 |