| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,369 |
14,345 |
$1.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,431 |
19,435 |
$1.42M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,234 |
6,775 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,729 |
2,684 |
$209K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,677 |
5,106 |
$173K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,983 |
1,948 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,050 |
2,003 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,220 |
1,171 |
$88K |
| 92551 |
|
5,554 |
5,471 |
$54K |
| 90686 |
|
4,289 |
4,232 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
298 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,391 |
2,288 |
$31K |
| 90649 |
|
476 |
464 |
$27K |
| 90734 |
|
448 |
441 |
$13K |
| 99384 |
|
128 |
128 |
$13K |
| 90670 |
|
624 |
613 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
132 |
$10K |
| 99383 |
|
118 |
118 |
$10K |
| 99173 |
|
3,440 |
3,382 |
$8K |
| 0001A |
|
202 |
202 |
$8K |
| 90677 |
|
117 |
112 |
$7K |
| 90685 |
|
609 |
600 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
732 |
717 |
$7K |
| 0002A |
|
172 |
172 |
$7K |
| 90680 |
|
283 |
277 |
$5K |
| 90688 |
|
446 |
418 |
$5K |
| 90633 |
|
307 |
304 |
$4K |
| 99382 |
|
49 |
48 |
$4K |
| 90715 |
|
289 |
285 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
261 |
245 |
$4K |
| 90619 |
|
93 |
93 |
$3K |
| 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) |
315 |
278 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
181 |
$3K |
| 96127 |
|
347 |
342 |
$2K |
| 90710 |
|
61 |
61 |
$1K |
| 90744 |
|
109 |
102 |
$1K |
| 90651 |
|
42 |
42 |
$1K |
| 90696 |
|
75 |
74 |
$1K |
| 99381 |
|
14 |
12 |
$1K |
| 90620 |
|
13 |
13 |
$1K |
| 90648 |
|
99 |
98 |
$1K |
| 90698 |
|
61 |
59 |
$978.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
711 |
630 |
$891.78 |
| 90716 |
|
31 |
30 |
$800.94 |
| 90707 |
|
29 |
29 |
$395.31 |
| 90723 |
|
12 |
12 |
$200.15 |
| 90461 |
|
138 |
130 |
$187.80 |
| 97802 |
|
169 |
168 |
$155.24 |
| 90700 |
|
12 |
12 |
$147.30 |
| 85018 |
|
12 |
12 |
$29.22 |
| 91300 |
|
354 |
333 |
$2.16 |
| 99072 |
|
184 |
168 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
33 |
33 |
$0.00 |