| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,509 |
4,221 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
827 |
826 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
734 |
734 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
401 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
186 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
328 |
320 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
628 |
612 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
243 |
240 |
$9K |
| 87428 |
|
212 |
212 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
394 |
193 |
$5K |
| 99051 |
|
134 |
134 |
$4K |
| 90686 |
|
339 |
331 |
$1K |
| 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) |
44 |
41 |
$849.20 |
| 96127 |
|
528 |
528 |
$301.84 |
| 96160 |
|
532 |
532 |
$271.26 |
| 92551 |
|
936 |
936 |
$265.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
517 |
515 |
$249.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$234.76 |
| 99177 |
|
123 |
123 |
$147.72 |
| 99173 |
|
358 |
358 |
$83.74 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
272 |
271 |
$0.00 |
| 96161 |
|
50 |
50 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
536 |
535 |
$0.00 |
| 90661 |
|
46 |
46 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |