| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,276 |
15,770 |
$726K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,664 |
6,762 |
$410K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,418 |
3,842 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
908 |
856 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
723 |
689 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
399 |
$28K |
| 99221 |
|
1,882 |
1,509 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
554 |
513 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
178 |
168 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,566 |
1,450 |
$18K |
| 92551 |
|
2,404 |
2,258 |
$17K |
| 90686 |
|
1,048 |
963 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
133 |
$12K |
| 90682 |
|
382 |
356 |
$10K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
638 |
585 |
$8K |
| 90670 |
|
473 |
448 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,367 |
706 |
$6K |
| 96127 |
|
1,303 |
1,227 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
554 |
517 |
$4K |
| 99173 |
|
2,320 |
2,177 |
$4K |
| 90688 |
|
195 |
192 |
$3K |
| 99215 |
Prolong outpt/office vis |
32 |
26 |
$3K |
| 81002 |
|
2,770 |
2,570 |
$2K |
| 90698 |
|
356 |
341 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
227 |
196 |
$2K |
| 90732 |
|
27 |
27 |
$2K |
| 90734 |
|
97 |
95 |
$1K |
| 90685 |
|
153 |
144 |
$1K |
| 90649 |
|
85 |
80 |
$933.65 |
| 90656 |
|
29 |
28 |
$573.82 |
| 94760 |
|
1,065 |
959 |
$572.04 |
| 90716 |
|
45 |
45 |
$433.38 |
| 90680 |
|
104 |
95 |
$419.33 |
| 93000 |
|
25 |
25 |
$379.41 |
| 90715 |
|
18 |
18 |
$377.63 |
| 83655 |
|
45 |
42 |
$372.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
112 |
$337.32 |
| 90658 |
|
15 |
15 |
$185.70 |
| 90744 |
|
37 |
30 |
$110.35 |
| 90633 |
|
52 |
49 |
$110.35 |
| 90707 |
|
59 |
58 |
$110.35 |
| 90662 |
|
28 |
25 |
$108.54 |
| 85018 |
|
43 |
41 |
$67.69 |
| 86580 |
|
16 |
15 |
$22.68 |
| G0008 |
Administration of influenza virus vaccine |
97 |
82 |
$2.70 |
| 3079F |
|
57 |
56 |
$0.00 |
| 3074F |
|
162 |
156 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,195 |
3,820 |
$0.00 |
| 90630 |
|
108 |
99 |
$0.00 |
| 3078F |
|
118 |
114 |
$0.00 |