| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,710 |
4,152 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,313 |
2,155 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
983 |
983 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
857 |
856 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,308 |
2,295 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
447 |
446 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
503 |
497 |
$31K |
| 92552 |
|
1,979 |
1,970 |
$31K |
| 87428 |
|
543 |
533 |
$13K |
| 90461 |
|
654 |
649 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
799 |
794 |
$9K |
| 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) |
719 |
608 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
277 |
267 |
$8K |
| 99188 |
|
876 |
875 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,759 |
1,744 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
994 |
953 |
$4K |
| 96160 |
|
2,932 |
2,913 |
$4K |
| 96127 |
|
1,059 |
995 |
$4K |
| 90671 |
|
148 |
148 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
130 |
128 |
$2K |
| 83655 |
|
101 |
101 |
$978.79 |
| 87807 |
|
23 |
22 |
$224.42 |
| 85018 |
|
74 |
74 |
$122.00 |
| 99173 |
|
1,504 |
1,500 |
$112.29 |
| 90686 |
|
498 |
498 |
$67.98 |
| 81002 |
|
15 |
15 |
$24.40 |
| 99174 |
|
77 |
77 |
$9.86 |
| 90698 |
|
40 |
40 |
$0.00 |
| 97802 |
|
116 |
116 |
$0.00 |
| 90656 |
|
134 |
134 |
$0.00 |
| 96161 |
|
31 |
29 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90670 |
|
56 |
56 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |