| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,177 |
3,800 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,532 |
1,423 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
824 |
814 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,773 |
2,030 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
507 |
447 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
340 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,609 |
763 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
544 |
524 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,007 |
959 |
$8K |
| 92551 |
|
1,040 |
1,031 |
$7K |
| 90461 |
|
1,124 |
945 |
$7K |
| 99001 |
|
1,266 |
1,122 |
$6K |
| S8301 |
Infection control supplies, not otherwise specified |
985 |
909 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
370 |
247 |
$3K |
| 99383 |
|
27 |
27 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
61 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
72 |
$2K |
| 99000 |
|
177 |
174 |
$2K |
| 99384 |
|
16 |
15 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 87807 |
|
155 |
150 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$738.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$146.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
36 |
$114.80 |
| 99177 |
|
371 |
362 |
$56.00 |
| 96127 |
|
69 |
69 |
$10.50 |
| 90670 |
|
449 |
419 |
$0.09 |
| 90686 |
|
491 |
484 |
$0.04 |
| 90633 |
|
207 |
202 |
$0.02 |
| 90680 |
|
176 |
167 |
$0.02 |
| 99072 |
|
137 |
111 |
$0.00 |
| 99173 |
|
782 |
768 |
$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) |
92 |
87 |
$0.00 |
| 90700 |
|
45 |
45 |
$0.00 |
| 99401 |
|
28 |
17 |
$0.00 |
| 99051 |
|
58 |
57 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90698 |
|
186 |
171 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 90744 |
|
29 |
28 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |