| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,408 |
21,388 |
$962K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,774 |
13,439 |
$851K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,517 |
4,968 |
$439K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,908 |
4,732 |
$403K |
| 92583 |
|
7,710 |
7,543 |
$336K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,819 |
2,712 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,212 |
2,087 |
$203K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,084 |
4,201 |
$163K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,863 |
3,531 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,918 |
3,732 |
$108K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,472 |
3,468 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,314 |
6,675 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,073 |
6,717 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,234 |
3,121 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,138 |
5,344 |
$60K |
| 90461 |
|
1,809 |
1,663 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,001 |
969 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
581 |
536 |
$7K |
| 96160 |
|
2,817 |
2,631 |
$5K |
| 99383 |
|
45 |
41 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$4K |
| 99460 |
|
51 |
42 |
$4K |
| 0001A |
|
69 |
61 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 90474 |
|
191 |
190 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 0071A |
|
36 |
27 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 0072A |
|
24 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
62 |
$922.90 |
| 87428 |
|
24 |
24 |
$765.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$684.96 |
| 81003 |
|
130 |
119 |
$233.54 |
| 90677 |
|
1,178 |
1,158 |
$2.08 |
| 91307 |
|
133 |
106 |
$0.12 |
| 90686 |
|
3,584 |
3,346 |
$0.07 |
| 90734 |
|
456 |
427 |
$0.02 |
| 90651 |
|
502 |
477 |
$0.01 |
| 90656 |
|
310 |
307 |
$0.01 |
| 90723 |
|
2,960 |
2,788 |
$0.00 |
| 90680 |
|
359 |
353 |
$0.00 |
| 90716 |
|
1,037 |
983 |
$0.00 |
| 96127 |
|
653 |
625 |
$0.00 |
| 90696 |
|
123 |
119 |
$0.00 |
| 36416 |
|
30 |
27 |
$0.00 |
| 90670 |
|
2,956 |
2,762 |
$0.00 |
| 99173 |
|
7,616 |
7,330 |
$0.00 |
| 90707 |
|
979 |
927 |
$0.00 |
| 90633 |
|
1,215 |
1,138 |
$0.00 |
| 91300 |
|
155 |
126 |
$0.00 |
| 90648 |
|
4,151 |
3,928 |
$0.00 |
| 90700 |
|
58 |
56 |
$0.00 |
| 90681 |
|
1,159 |
1,096 |
$0.00 |
| 90715 |
|
204 |
192 |
$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) |
113 |
111 |
$0.00 |