| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,421 |
3,834 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,904 |
3,531 |
$151K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
944 |
686 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
675 |
665 |
$7K |
| 90682 |
|
207 |
205 |
$6K |
| 97814 |
|
109 |
33 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
635 |
624 |
$6K |
| 99173 |
|
228 |
227 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
173 |
171 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$4K |
| 97810 |
|
109 |
33 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
162 |
$3K |
| 92551 |
|
234 |
233 |
$2K |
| 91322 |
|
32 |
31 |
$2K |
| 81002 |
|
994 |
958 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 96127 |
|
884 |
865 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
176 |
172 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
85 |
52 |
$932.12 |
| 0124A |
|
41 |
41 |
$884.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
43 |
$846.11 |
| 90686 |
|
164 |
163 |
$751.03 |
| 90480 |
|
37 |
36 |
$743.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
380 |
364 |
$557.88 |
| 0004A |
|
14 |
14 |
$358.35 |
| 80061 |
Lipid panel |
184 |
178 |
$300.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$160.38 |
| 90662 |
|
67 |
67 |
$130.52 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$125.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$94.75 |
| 81003 |
|
62 |
56 |
$67.45 |
| ATP03 |
|
24 |
24 |
$48.35 |
| 80305 |
|
13 |
13 |
$40.72 |
| G0008 |
Administration of influenza virus vaccine |
210 |
208 |
$37.50 |
| 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) |
13 |
12 |
$26.98 |
| 1101F |
|
32 |
31 |
$0.00 |
| 91312 |
|
29 |
29 |
$0.00 |
| 99072 |
|
35 |
33 |
$0.00 |