| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,969 |
22,010 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,842 |
11,006 |
$860K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,210 |
2,399 |
$110K |
| 87428 |
|
1,319 |
1,295 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,759 |
3,579 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
734 |
711 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
541 |
527 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
634 |
587 |
$49K |
| 92552 |
|
1,758 |
1,717 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
806 |
619 |
$38K |
| 99051 |
|
907 |
874 |
$33K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
163 |
158 |
$28K |
| 99050 |
|
656 |
632 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
253 |
216 |
$18K |
| 99401 |
|
566 |
548 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,221 |
1,185 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
95 |
94 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
241 |
$9K |
| 93000 |
|
762 |
748 |
$9K |
| 90461 |
|
263 |
223 |
$8K |
| 93320 |
|
162 |
157 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
184 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,797 |
2,312 |
$6K |
| 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) |
643 |
598 |
$5K |
| 93325 |
|
162 |
157 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
118 |
$3K |
| 3288F |
|
1,421 |
1,180 |
$3K |
| 96127 |
|
1,155 |
1,103 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
15 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
139 |
133 |
$897.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
56 |
$887.25 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
615 |
604 |
$599.17 |
| 90480 |
|
14 |
14 |
$541.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
26 |
$491.64 |
| 96160 |
|
145 |
142 |
$487.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
186 |
158 |
$366.59 |
| 96161 |
|
69 |
67 |
$277.36 |
| G0008 |
Administration of influenza virus vaccine |
186 |
176 |
$50.83 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$48.31 |
| 3074F |
|
16 |
14 |
$27.00 |
| 99173 |
|
13 |
13 |
$26.04 |
| 90686 |
|
39 |
38 |
$16.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
43 |
42 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
53 |
$0.00 |
| 1159F |
|
160 |
151 |
$0.00 |
| 99442 |
|
50 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
15 |
$0.00 |