| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,010 |
4,756 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,037 |
5,705 |
$417K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,082 |
2,030 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,211 |
1,141 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,037 |
1,024 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
184 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
851 |
839 |
$17K |
| 92587 |
|
1,022 |
1,015 |
$12K |
| 90670 |
|
653 |
629 |
$10K |
| 90686 |
|
796 |
784 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
409 |
405 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
146 |
$6K |
| 96127 |
|
1,664 |
1,552 |
$6K |
| 92551 |
|
678 |
651 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
69 |
68 |
$3K |
| 90685 |
|
155 |
153 |
$3K |
| 90461 |
|
177 |
177 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
109 |
$3K |
| 99173 |
|
1,496 |
1,474 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
153 |
$2K |
| 90680 |
|
127 |
119 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,188 |
1,183 |
$2K |
| 90633 |
|
101 |
99 |
$2K |
| 90688 |
|
73 |
73 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| 90648 |
|
85 |
85 |
$1K |
| 99177 |
|
319 |
312 |
$880.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$811.53 |
| 90671 |
|
39 |
38 |
$785.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
51 |
$735.95 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
110 |
$555.87 |
| 0071A |
|
12 |
12 |
$480.00 |
| 90651 |
|
25 |
24 |
$475.41 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$371.00 |
| 90710 |
|
13 |
13 |
$265.77 |
| 90715 |
|
12 |
12 |
$248.04 |
| 90716 |
|
15 |
15 |
$161.93 |
| 81002 |
|
51 |
50 |
$151.64 |
| 90723 |
|
13 |
13 |
$140.79 |
| 90707 |
|
13 |
13 |
$140.27 |
| 90698 |
|
13 |
12 |
$87.62 |
| 85018 |
|
30 |
24 |
$58.92 |
| 81003 |
|
12 |
12 |
$26.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
114 |
$14.19 |
| 96161 |
|
21 |
21 |
$0.00 |
| 91307 |
|
54 |
51 |
$0.00 |
| 99000 |
|
41 |
39 |
$0.00 |
| 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) |
517 |
494 |
$0.00 |
| 99188 |
|
14 |
14 |
$0.00 |
| 99072 |
|
280 |
261 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
69 |
$0.00 |