| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,329 |
4,003 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,498 |
1,489 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,717 |
1,709 |
$12K |
| 96156 |
|
1,460 |
1,434 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
959 |
950 |
$8K |
| 92551 |
|
4,023 |
3,997 |
$5K |
| 99215 |
Prolong outpt/office vis |
3,363 |
3,151 |
$5K |
| 90686 |
|
2,777 |
2,754 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
276 |
273 |
$4K |
| 86409 |
|
46 |
46 |
$4K |
| 0071A |
|
69 |
69 |
$3K |
| 0124A |
|
65 |
65 |
$3K |
| 0072A |
|
63 |
63 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,211 |
5,806 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
21 |
$1K |
| 81000 |
|
4,032 |
4,007 |
$814.45 |
| 0002A |
|
19 |
19 |
$760.00 |
| 0004A |
|
18 |
18 |
$720.00 |
| 96150 |
|
100 |
100 |
$692.49 |
| 90670 |
|
118 |
118 |
$621.00 |
| 90700 |
|
157 |
157 |
$566.20 |
| 0001A |
|
14 |
14 |
$560.00 |
| 0064A |
|
13 |
12 |
$520.00 |
| 90651 |
|
529 |
527 |
$447.40 |
| 90620 |
|
331 |
331 |
$379.00 |
| 90685 |
|
155 |
155 |
$374.03 |
| 90713 |
|
84 |
84 |
$364.60 |
| 90648 |
|
41 |
41 |
$284.40 |
| 90734 |
|
330 |
328 |
$229.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
246 |
243 |
$120.68 |
| 90680 |
|
13 |
13 |
$117.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$82.32 |
| 99188 |
|
87 |
86 |
$64.80 |
| 86580 |
|
77 |
74 |
$37.34 |
| 90672 |
|
16 |
16 |
$10.00 |
| 90707 |
|
28 |
28 |
$9.00 |
| 90716 |
|
29 |
29 |
$9.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,583 |
4,337 |
$8.20 |
| 99339 |
|
1,007 |
949 |
$4.63 |
| 99173 |
|
3,929 |
3,906 |
$4.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,014 |
1,931 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
211 |
201 |
$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 |
12 |
$0.00 |
| 92081 |
|
15 |
15 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,958 |
1,925 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
374 |
356 |
$0.00 |
| 96112 |
|
56 |
56 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
219 |
217 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
22 |
$0.00 |
| 90657 |
|
28 |
28 |
$0.00 |