| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,656 |
3,370 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,372 |
2,222 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,344 |
1,327 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,086 |
976 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
801 |
776 |
$77K |
| 90686 |
|
1,560 |
1,512 |
$30K |
| 92551 |
|
1,580 |
1,520 |
$17K |
| 90670 |
|
632 |
609 |
$13K |
| 87428 |
|
247 |
239 |
$11K |
| 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) |
330 |
314 |
$5K |
| 90698 |
|
193 |
187 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
355 |
246 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
165 |
$4K |
| 90680 |
|
163 |
159 |
$3K |
| 99173 |
|
1,000 |
966 |
$3K |
| 90648 |
|
134 |
130 |
$3K |
| 0072A |
|
63 |
62 |
$2K |
| 99174 |
|
510 |
504 |
$2K |
| 99402 |
|
32 |
29 |
$2K |
| 0071A |
|
57 |
56 |
$2K |
| 99188 |
|
164 |
163 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 90700 |
|
86 |
79 |
$2K |
| 96127 |
|
261 |
251 |
$1K |
| 91321 |
|
55 |
55 |
$1K |
| 0001A |
|
30 |
30 |
$1K |
| 90677 |
|
54 |
53 |
$1K |
| 0002A |
|
23 |
23 |
$920.00 |
| 96160 |
|
287 |
276 |
$861.66 |
| 90744 |
|
45 |
44 |
$790.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
66 |
$699.23 |
| 99401 |
|
13 |
12 |
$504.65 |
| 90710 |
|
25 |
24 |
$461.16 |
| 90672 |
|
13 |
13 |
$263.52 |
| 90633 |
|
12 |
12 |
$263.52 |
| 90480 |
|
12 |
12 |
$240.00 |
| 83655 |
|
29 |
29 |
$228.96 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$172.12 |
| 85018 |
|
43 |
43 |
$64.74 |
| 99072 |
|
167 |
157 |
$56.70 |
| 96161 |
|
17 |
15 |
$38.73 |
| A4258 |
Spring-powered device for lancet, each |
48 |
48 |
$20.00 |
| 99177 |
|
12 |
12 |
$5.09 |
| 99050 |
|
40 |
40 |
$0.00 |