| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,018 |
18,093 |
$1.10M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,646 |
5,263 |
$466K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,149 |
9,823 |
$396K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,970 |
3,863 |
$357K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
756 |
747 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
516 |
499 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,997 |
1,937 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
99 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
226 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
232 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
266 |
$4K |
| 0071A |
|
92 |
88 |
$3K |
| 99051 |
|
203 |
198 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
108 |
105 |
$2K |
| 0072A |
|
51 |
50 |
$2K |
| 0082A |
|
51 |
44 |
$2K |
| 99381 |
|
15 |
13 |
$1K |
| 87430 |
|
80 |
78 |
$1K |
| 90474 |
|
91 |
88 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
13 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,288 |
6,137 |
$894.00 |
| 96127 |
|
174 |
170 |
$840.83 |
| 90473 |
|
44 |
42 |
$820.00 |
| 0081A |
|
32 |
27 |
$800.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
44 |
$781.02 |
| 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) |
472 |
446 |
$718.00 |
| 97802 |
|
5,489 |
5,378 |
$635.23 |
| 99401 |
|
68 |
66 |
$557.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
27 |
$381.85 |
| 0083A |
|
12 |
12 |
$370.00 |
| 85018 |
|
141 |
124 |
$338.44 |
| 92551 |
|
379 |
359 |
$304.86 |
| 99072 |
|
11,867 |
11,181 |
$225.14 |
| 83655 |
|
25 |
25 |
$215.50 |
| 91307 |
|
202 |
183 |
$160.00 |
| 99174 |
|
105 |
102 |
$151.80 |
| 99173 |
|
2,007 |
1,973 |
$119.98 |
| 90672 |
|
75 |
73 |
$26.88 |
| 90670 |
|
896 |
870 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90681 |
|
128 |
126 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 91308 |
|
81 |
65 |
$0.00 |
| 90698 |
|
212 |
208 |
$0.00 |
| 90686 |
|
1,212 |
1,183 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90744 |
|
112 |
107 |
$0.00 |
| 90697 |
|
15 |
12 |
$0.00 |
| 90674 |
|
62 |
62 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |