| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,848 |
6,873 |
$338K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,595 |
3,299 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,729 |
4,476 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,163 |
1,151 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
978 |
934 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,044 |
972 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,694 |
3,477 |
$60K |
| 92587 |
|
3,355 |
2,984 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
401 |
$28K |
| 90461 |
|
1,540 |
1,440 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
640 |
609 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,895 |
1,768 |
$17K |
| 90686 |
|
1,319 |
1,157 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
98 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
502 |
475 |
$6K |
| 96127 |
|
1,909 |
1,607 |
$5K |
| 90670 |
|
299 |
248 |
$4K |
| 90651 |
|
33 |
26 |
$2K |
| 99383 |
|
21 |
21 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$999.05 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
14 |
$955.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$809.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
130 |
$694.20 |
| 0071A |
|
13 |
13 |
$520.00 |
| 90698 |
|
161 |
131 |
$403.46 |
| 92558 |
|
123 |
99 |
$307.17 |
| 90633 |
|
96 |
65 |
$187.33 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$172.59 |
| 90715 |
|
16 |
13 |
$141.12 |
| 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) |
20 |
17 |
$128.80 |
| 90696 |
|
18 |
15 |
$122.26 |
| 99072 |
|
1,307 |
1,147 |
$121.50 |
| 99051 |
|
29 |
28 |
$86.34 |
| 99173 |
|
80 |
80 |
$84.79 |
| 90707 |
|
13 |
13 |
$82.50 |
| 90744 |
|
27 |
27 |
$29.35 |
| 90677 |
|
15 |
15 |
$9.00 |
| A4207 |
Syringe with needle, sterile 2 cc, each |
2,985 |
2,794 |
$4.00 |
| 3008F |
|
26 |
26 |
$0.00 |
| 90680 |
|
31 |
26 |
$0.00 |
| 91307 |
|
23 |
16 |
$0.00 |
| A4210 |
Needle-free injection device, each |
82 |
77 |
$0.00 |
| 99001 |
|
43 |
41 |
$0.00 |
| 97803 |
|
70 |
69 |
$0.00 |