| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,098 |
6,096 |
$610K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,363 |
2,168 |
$280K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,425 |
1,413 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,225 |
1,222 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
793 |
793 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,688 |
4,531 |
$69K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
829 |
790 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
288 |
288 |
$30K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
582 |
554 |
$27K |
| 90461 |
|
2,193 |
2,134 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,069 |
566 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,109 |
4,086 |
$14K |
| 90677 |
|
138 |
138 |
$11K |
| 99442 |
|
124 |
118 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,055 |
1,022 |
$6K |
| 92550 |
|
169 |
152 |
$2K |
| 0072A |
|
26 |
26 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 99177 |
|
1,403 |
1,403 |
$950.65 |
| 90619 |
|
80 |
80 |
$760.88 |
| 99441 |
|
13 |
13 |
$426.96 |
| 99174 |
|
1,465 |
1,465 |
$405.71 |
| 81000 |
|
84 |
81 |
$300.42 |
| 90661 |
|
80 |
80 |
$294.80 |
| 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) |
20 |
20 |
$230.10 |
| 90686 |
|
566 |
561 |
$209.89 |
| 92568 |
|
58 |
56 |
$162.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
167 |
$70.47 |
| 90670 |
|
276 |
275 |
$53.55 |
| 90700 |
|
332 |
332 |
$49.37 |
| 90713 |
|
236 |
236 |
$46.19 |
| 90656 |
|
45 |
45 |
$45.88 |
| 99173 |
|
16 |
16 |
$13.72 |
| 94760 |
|
67 |
61 |
$11.00 |
| 99001 |
|
218 |
214 |
$3.85 |
| 99000 |
|
144 |
138 |
$0.00 |
| 90674 |
|
159 |
159 |
$0.00 |
| 90698 |
|
59 |
59 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 91307 |
|
48 |
47 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90648 |
|
139 |
139 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |