| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
417 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
149 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
152 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
105 |
$8K |
| 99382 |
|
89 |
83 |
$5K |
| 99383 |
|
73 |
63 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132 |
112 |
$3K |
| 92551 |
|
306 |
269 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
29 |
$2K |
| 90677 |
|
71 |
69 |
$2K |
| 99381 |
|
37 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
159 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 90698 |
|
64 |
63 |
$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) |
313 |
265 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
77 |
$1K |
| 97802 |
|
149 |
148 |
$867.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
140 |
$648.51 |
| 99173 |
|
301 |
269 |
$543.40 |
| 90656 |
|
36 |
36 |
$532.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$496.68 |
| 90681 |
|
19 |
19 |
$414.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$388.08 |
| 90660 |
|
31 |
31 |
$385.74 |
| 96127 |
|
101 |
99 |
$371.53 |
| 90700 |
|
28 |
28 |
$339.30 |
| 90744 |
|
25 |
24 |
$332.40 |
| 90619 |
|
15 |
14 |
$260.43 |
| 90680 |
|
12 |
12 |
$208.88 |
| 90633 |
|
15 |
15 |
$190.18 |
| 94664 |
|
21 |
12 |
$131.13 |
| 97803 |
|
22 |
18 |
$54.30 |