| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,871 |
3,793 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,486 |
1,902 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
905 |
816 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
605 |
$52K |
| 96127 |
|
1,847 |
1,621 |
$33K |
| 99173 |
|
2,331 |
2,116 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
802 |
704 |
$13K |
| 90733 |
|
77 |
68 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
244 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
72 |
$6K |
| 99000 |
|
221 |
175 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
274 |
252 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
290 |
$4K |
| 99402 |
|
109 |
94 |
$3K |
| 0002A |
|
74 |
74 |
$3K |
| 99058 |
|
210 |
189 |
$3K |
| 0001A |
|
62 |
62 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
97 |
83 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
29 |
$2K |
| 90658 |
|
304 |
270 |
$2K |
| 0072A |
|
43 |
41 |
$2K |
| 90649 |
|
47 |
39 |
$2K |
| 0071A |
|
37 |
32 |
$2K |
| 90734 |
|
80 |
67 |
$1K |
| 81002 |
|
448 |
381 |
$1K |
| 90686 |
|
92 |
88 |
$974.31 |
| 90619 |
|
35 |
29 |
$580.70 |
| 0054A |
|
13 |
12 |
$543.40 |
| 90715 |
|
45 |
40 |
$484.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$467.20 |
| 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 |
31 |
$385.00 |
| 90648 |
|
35 |
30 |
$239.75 |
| 90670 |
|
21 |
17 |
$228.00 |
| 90723 |
|
14 |
12 |
$164.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
75 |
73 |
$52.24 |
| 97804 |
|
25 |
25 |
$24.00 |
| 99072 |
|
241 |
186 |
$6.25 |
| 97803 |
|
51 |
51 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
262 |
222 |
$0.00 |