| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,721 |
7,253 |
$690K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,020 |
9,428 |
$600K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,145 |
2,133 |
$269K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,064 |
1,829 |
$241K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,173 |
1,157 |
$148K |
| 96160 |
|
4,637 |
4,068 |
$53K |
| 99072 |
|
12,139 |
11,403 |
$33K |
| 90686 |
|
1,524 |
1,510 |
$27K |
| D0191 |
|
1,908 |
1,899 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,196 |
1,630 |
$19K |
| 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) |
1,137 |
1,067 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
480 |
476 |
$14K |
| 99173 |
|
2,121 |
2,090 |
$13K |
| 96154 |
|
180 |
167 |
$9K |
| 90688 |
|
384 |
382 |
$8K |
| 90670 |
|
376 |
372 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
654 |
317 |
$6K |
| D1206 |
Topical application of fluoride varnish |
377 |
377 |
$6K |
| 90685 |
|
251 |
244 |
$5K |
| 94760 |
|
2,373 |
2,219 |
$5K |
| 90633 |
|
193 |
193 |
$4K |
| 90698 |
|
178 |
175 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
317 |
309 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 96161 |
|
170 |
154 |
$3K |
| 90656 |
|
144 |
144 |
$3K |
| 90680 |
|
140 |
137 |
$3K |
| 96127 |
|
206 |
132 |
$2K |
| 90744 |
|
74 |
72 |
$2K |
| 90677 |
|
38 |
37 |
$812.52 |
| 87807 |
|
95 |
93 |
$801.68 |
| 90651 |
|
40 |
40 |
$790.56 |
| 90697 |
|
27 |
26 |
$570.96 |
| 90734 |
|
24 |
24 |
$505.08 |
| 0002A |
|
12 |
12 |
$320.00 |
| 36416 |
|
129 |
120 |
$287.70 |
| 90696 |
|
13 |
13 |
$285.48 |
| 90700 |
|
12 |
12 |
$263.52 |
| 90716 |
|
12 |
12 |
$263.52 |
| 81002 |
|
14 |
13 |
$22.04 |
| 99051 |
|
67 |
63 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
16 |
$0.00 |
| 99000 |
|
454 |
412 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |