| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,427 |
4,110 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,404 |
1,383 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,260 |
1,248 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
979 |
945 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
367 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
597 |
$31K |
| 92552 |
|
1,828 |
1,800 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
564 |
541 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,420 |
1,395 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
265 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
476 |
459 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,118 |
1,070 |
$7K |
| 92015 |
Determination of refractive state |
729 |
722 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
436 |
332 |
$6K |
| 99173 |
|
800 |
792 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
154 |
$4K |
| 96127 |
|
933 |
913 |
$4K |
| 90686 |
|
908 |
816 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
151 |
$3K |
| 90670 |
|
562 |
476 |
$2K |
| 90698 |
|
260 |
220 |
$970.00 |
| 90461 |
|
28 |
28 |
$690.00 |
| 81007 |
|
242 |
236 |
$679.98 |
| 0072A |
|
17 |
17 |
$640.00 |
| 90656 |
|
173 |
173 |
$616.00 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90680 |
|
220 |
171 |
$600.00 |
| 90696 |
|
48 |
46 |
$529.97 |
| 90677 |
|
217 |
142 |
$463.72 |
| 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) |
58 |
55 |
$438.11 |
| 90633 |
|
247 |
207 |
$420.00 |
| 96161 |
|
115 |
107 |
$370.10 |
| 90710 |
|
42 |
42 |
$340.00 |
| 90734 |
|
12 |
12 |
$206.30 |
| 90715 |
|
84 |
77 |
$195.04 |
| 99072 |
|
1,489 |
1,283 |
$39.60 |
| 90671 |
|
14 |
14 |
$0.00 |
| 90707 |
|
20 |
19 |
$0.00 |
| 90651 |
|
84 |
84 |
$0.00 |
| 90619 |
|
54 |
52 |
$0.00 |
| 90716 |
|
23 |
22 |
$0.00 |