| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,814 |
3,941 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,818 |
5,839 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,462 |
84,361 |
$55K |
| 88150 |
|
3,235 |
2,772 |
$40K |
| 99442 |
|
22,006 |
17,769 |
$38K |
| 96160 |
|
2,759 |
1,935 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,015 |
3,703 |
$32K |
| 0002A |
|
897 |
823 |
$30K |
| 0001A |
|
870 |
765 |
$20K |
| 90671 |
|
202 |
140 |
$18K |
| 0012A |
|
612 |
488 |
$16K |
| 90677 |
|
583 |
302 |
$14K |
| 90649 |
|
1,350 |
1,022 |
$11K |
| 90697 |
|
649 |
333 |
$11K |
| 0004A |
|
277 |
271 |
$10K |
| 0011A |
|
541 |
510 |
$10K |
| 99050 |
|
4,130 |
3,283 |
$9K |
| 90670 |
|
882 |
716 |
$9K |
| 88142 |
|
282 |
247 |
$7K |
| 0072A |
|
173 |
173 |
$7K |
| 0071A |
|
160 |
160 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,612 |
15,914 |
$6K |
| 90734 |
|
1,249 |
933 |
$6K |
| 97802 |
|
1,522 |
783 |
$6K |
| 90656 |
|
1,373 |
1,132 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
157 |
144 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,836 |
3,017 |
$3K |
| 0064A |
|
88 |
86 |
$3K |
| 90620 |
|
962 |
706 |
$3K |
| 0031A |
|
57 |
57 |
$2K |
| 90707 |
|
921 |
713 |
$2K |
| 90715 |
|
429 |
343 |
$2K |
| 0054A |
|
73 |
73 |
$1K |
| 0003A |
|
36 |
36 |
$1K |
| 90716 |
|
903 |
684 |
$1K |
| 90633 |
|
696 |
539 |
$1K |
| 97803 |
|
365 |
130 |
$999.33 |
| 99443 |
|
126 |
115 |
$675.14 |
| 90680 |
|
50 |
33 |
$326.90 |
| 90647 |
|
377 |
309 |
$218.03 |
| 99441 |
|
631 |
437 |
$212.68 |
| 90698 |
|
166 |
130 |
$140.00 |
| 90696 |
|
213 |
177 |
$92.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
57 |
$91.80 |
| 90723 |
|
155 |
137 |
$88.00 |
| 91307 |
|
39 |
39 |
$80.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,313 |
1,012 |
$79.38 |
| 96127 |
|
9,563 |
6,278 |
$70.18 |
| 90700 |
|
118 |
101 |
$56.00 |
| 92551 |
|
444 |
300 |
$48.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,088 |
868 |
$47.38 |
| 99406 |
|
5,464 |
2,662 |
$34.47 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
650 |
512 |
$23.69 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
592 |
503 |
$23.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
592 |
449 |
$23.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
428 |
302 |
$22.00 |
| 90681 |
|
181 |
138 |
$20.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
108 |
$15.02 |
| 90744 |
|
35 |
31 |
$12.00 |
| 90713 |
|
29 |
26 |
$4.00 |
| 91303 |
|
58 |
58 |
$0.06 |
| 91306 |
|
61 |
59 |
$0.01 |
| 1159F |
|
18,404 |
11,894 |
$0.00 |
| 99408 |
|
8,699 |
5,521 |
$0.00 |
| 0521F |
|
3,188 |
1,673 |
$0.00 |
| 3078F |
|
5,536 |
3,410 |
$0.00 |
| 99173 |
|
2,029 |
1,191 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
92 |
$0.00 |
| 3077F |
|
3,921 |
2,443 |
$0.00 |
| 1160F |
|
18,422 |
11,887 |
$0.00 |
| 92553 |
|
40 |
20 |
$0.00 |
| 91300 |
|
2,251 |
1,802 |
$0.00 |
| 99201 |
|
55 |
43 |
$0.00 |
| 1158F |
|
96 |
54 |
$0.00 |
| 99409 |
|
51 |
41 |
$0.00 |
| 99401 |
|
25 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
124 |
91 |
$0.00 |
| 3051F |
|
36 |
17 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
17 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
53 |
42 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
37 |
$0.00 |
| 3050F |
|
32 |
15 |
$0.00 |
| 3074F |
|
4,117 |
2,507 |
$0.00 |
| 1125F |
|
5,077 |
3,080 |
$0.00 |
| 3008F |
|
8,665 |
6,505 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,059 |
6,694 |
$0.00 |
| 3075F |
|
1,772 |
1,121 |
$0.00 |
| 1126F |
|
11,403 |
7,325 |
$0.00 |
| 3044F |
|
1,176 |
685 |
$0.00 |
| 1157F |
|
96 |
54 |
$0.00 |
| 91305 |
|
126 |
124 |
$0.00 |
| 3079F |
|
3,559 |
2,311 |
$0.00 |
| 3080F |
|
476 |
267 |
$0.00 |
| 91301 |
|
1,403 |
1,238 |
$0.00 |
| 1170F |
|
94 |
53 |
$0.00 |
| 3048F |
|
44 |
22 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
36 |
$0.00 |
| 1111F |
|
31 |
24 |
$0.00 |
| 1220F |
|
188 |
146 |
$0.00 |
| 86738 |
|
34 |
34 |
$0.00 |
| 99386 |
|
33 |
20 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
100 |
$0.00 |
| 99385 |
|
53 |
32 |
$0.00 |
| 93000 |
|
26 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
37 |
$0.00 |
| 4010F |
|
23 |
12 |
$0.00 |