| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,010 |
4,845 |
$610K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,368 |
3,384 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
755 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
662 |
600 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
631 |
537 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
274 |
$45K |
| 92552 |
|
1,764 |
1,544 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
274 |
$34K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,898 |
1,581 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,952 |
1,432 |
$14K |
| 90698 |
|
531 |
459 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
79 |
$8K |
| 90670 |
|
439 |
370 |
$8K |
| 99383 |
|
70 |
56 |
$7K |
| 96127 |
|
1,401 |
1,221 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
108 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
571 |
476 |
$5K |
| 90710 |
|
254 |
214 |
$5K |
| 99384 |
|
35 |
31 |
$4K |
| 90744 |
|
208 |
170 |
$4K |
| 99173 |
|
1,751 |
1,537 |
$4K |
| 87430 |
|
274 |
255 |
$3K |
| 90686 |
|
183 |
142 |
$3K |
| 90734 |
|
169 |
141 |
$3K |
| 87400 |
|
313 |
258 |
$3K |
| 90656 |
|
103 |
101 |
$2K |
| 90633 |
|
88 |
82 |
$2K |
| 90715 |
|
95 |
75 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 99381 |
|
14 |
13 |
$1K |
| 90696 |
|
63 |
59 |
$1K |
| 90681 |
|
57 |
50 |
$1K |
| 96161 |
|
558 |
453 |
$792.22 |
| 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) |
48 |
46 |
$773.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
93 |
73 |
$655.81 |
| 90620 |
|
18 |
12 |
$325.92 |
| 99070 |
|
21 |
18 |
$149.85 |