| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,501 |
11,119 |
$778K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,963 |
11,603 |
$519K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,520 |
2,509 |
$205K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,688 |
1,675 |
$148K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,525 |
2,441 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,177 |
2,164 |
$91K |
| 99050 |
|
559 |
533 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,050 |
1,042 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,896 |
4,616 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,159 |
1,131 |
$30K |
| 99051 |
|
1,140 |
1,103 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
879 |
851 |
$28K |
| 99188 |
|
1,045 |
1,043 |
$21K |
| 92551 |
|
4,358 |
4,336 |
$21K |
| 99173 |
|
4,290 |
4,265 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
289 |
273 |
$11K |
| 99072 |
|
649 |
582 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
423 |
420 |
$5K |
| 90698 |
|
967 |
966 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,778 |
1,745 |
$5K |
| 94664 |
|
301 |
292 |
$4K |
| 90670 |
|
1,076 |
1,073 |
$4K |
| 96161 |
|
929 |
919 |
$4K |
| 90688 |
|
958 |
952 |
$3K |
| 90680 |
|
926 |
924 |
$3K |
| 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) |
151 |
135 |
$3K |
| 99242 |
|
39 |
39 |
$2K |
| 90633 |
|
798 |
796 |
$2K |
| 96160 |
|
561 |
556 |
$2K |
| 90686 |
|
194 |
193 |
$2K |
| 90744 |
|
418 |
413 |
$2K |
| 83655 |
|
629 |
627 |
$1K |
| 87428 |
|
34 |
34 |
$806.00 |
| 90651 |
|
237 |
237 |
$660.00 |
| 96127 |
|
132 |
130 |
$603.50 |
| 90734 |
|
42 |
42 |
$543.00 |
| 90707 |
|
102 |
102 |
$396.00 |
| 90710 |
|
203 |
203 |
$364.00 |
| 90696 |
|
192 |
192 |
$297.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$213.36 |
| 90672 |
|
16 |
16 |
$176.00 |
| 85018 |
|
106 |
104 |
$80.17 |
| 90677 |
|
392 |
391 |
$0.00 |
| 90697 |
|
359 |
358 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
616 |
611 |
$0.00 |
| 90619 |
|
320 |
320 |
$0.00 |
| 90716 |
|
67 |
67 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 90715 |
|
96 |
96 |
$0.00 |
| 90658 |
|
187 |
187 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |