| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,980 |
21,363 |
$909K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,752 |
8,831 |
$417K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,535 |
1,332 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
453 |
421 |
$26K |
| 11721 |
|
1,636 |
1,571 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
341 |
$13K |
| 99215 |
Prolong outpt/office vis |
208 |
194 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
131 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
85 |
75 |
$8K |
| 73560 |
|
315 |
216 |
$4K |
| 73562 |
|
306 |
240 |
$4K |
| 73565 |
|
164 |
158 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
80 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
126 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
105 |
$1K |
| 17110 |
|
14 |
13 |
$588.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$390.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$362.25 |
| 73030 |
|
13 |
13 |
$182.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$38.93 |
| 3074F |
|
55 |
49 |
$0.09 |
| 3079F |
|
47 |
37 |
$0.08 |
| 3077F |
|
19 |
13 |
$0.06 |
| 3078F |
|
30 |
26 |
$0.04 |
| 3008F |
|
23,741 |
20,668 |
$0.00 |
| 1036F |
|
6,622 |
5,813 |
$0.00 |
| 99024 |
|
454 |
374 |
$0.00 |
| 1170F |
|
29 |
28 |
$0.00 |
| 3044F |
|
16 |
12 |
$0.00 |
| 4004F |
|
128 |
103 |
$0.00 |
| 1160F |
|
28 |
27 |
$0.00 |
| 1159F |
|
29 |
28 |
$0.00 |
| 1158F |
|
13 |
12 |
$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) |
32 |
30 |
$0.00 |