| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,748 |
4,978 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,281 |
2,905 |
$218K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,343 |
1,254 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,494 |
1,412 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,103 |
971 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,267 |
2,580 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
469 |
442 |
$39K |
| 90686 |
|
1,737 |
1,648 |
$24K |
| 92551 |
|
2,831 |
2,614 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
419 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
334 |
312 |
$15K |
| 96160 |
|
3,526 |
3,178 |
$9K |
| 90670 |
|
676 |
632 |
$7K |
| 96127 |
|
1,453 |
1,107 |
$6K |
| 87428 |
|
78 |
73 |
$5K |
| 90647 |
|
268 |
257 |
$3K |
| 90723 |
|
316 |
296 |
$3K |
| 99188 |
|
349 |
335 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
59 |
58 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44 |
42 |
$2K |
| 90680 |
|
180 |
163 |
$2K |
| 0071A |
|
35 |
35 |
$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) |
131 |
120 |
$1K |
| 90656 |
|
73 |
73 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 90651 |
|
62 |
56 |
$838.66 |
| 99441 |
|
23 |
19 |
$746.25 |
| 0002A |
|
18 |
18 |
$726.40 |
| 0001A |
|
18 |
17 |
$683.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
234 |
108 |
$648.58 |
| 90716 |
|
69 |
60 |
$617.96 |
| 90707 |
|
62 |
59 |
$581.82 |
| 90633 |
|
103 |
98 |
$551.75 |
| 99173 |
|
1,911 |
1,759 |
$422.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
60 |
$419.80 |
| 96161 |
|
110 |
105 |
$378.99 |
| 90734 |
|
13 |
13 |
$286.91 |
| 99000 |
|
107 |
101 |
$50.40 |
| 3008F |
|
660 |
599 |
$0.00 |
| 91307 |
|
82 |
72 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
74 |
$0.00 |
| 87430 |
|
27 |
25 |
$0.00 |
| 87807 |
|
14 |
13 |
$0.00 |
| 90461 |
|
1,883 |
1,605 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,064 |
3,920 |
$0.00 |
| 90685 |
|
35 |
35 |
$0.00 |
| 91300 |
|
50 |
47 |
$0.00 |