| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,988 |
7,576 |
$905K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,926 |
3,388 |
$263K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,654 |
1,577 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,545 |
1,427 |
$149K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,346 |
4,849 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
977 |
906 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
803 |
735 |
$73K |
| 90461 |
|
1,716 |
1,570 |
$34K |
| 96127 |
|
3,164 |
2,938 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,753 |
1,599 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
664 |
595 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
695 |
636 |
$13K |
| 96160 |
|
1,265 |
1,185 |
$8K |
| 99242 |
|
62 |
53 |
$4K |
| 96111 |
|
35 |
29 |
$3K |
| 99058 |
|
76 |
66 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
263 |
237 |
$2K |
| 69210 |
|
59 |
56 |
$2K |
| 99188 |
|
110 |
95 |
$2K |
| 94760 |
|
2,149 |
1,766 |
$2K |
| 90651 |
|
257 |
243 |
$1K |
| 85018 |
|
446 |
419 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
387 |
364 |
$904.28 |
| 83655 |
|
61 |
51 |
$903.99 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
16 |
$847.14 |
| 96161 |
|
47 |
43 |
$277.58 |
| 87807 |
|
14 |
14 |
$168.54 |
| 81002 |
|
44 |
39 |
$135.84 |
| 90686 |
|
1,756 |
1,659 |
$114.78 |
| 90670 |
|
265 |
232 |
$0.00 |
| 90734 |
|
340 |
312 |
$0.00 |
| 90648 |
|
136 |
126 |
$0.00 |
| 90633 |
|
114 |
107 |
$0.00 |
| 90710 |
|
32 |
25 |
$0.00 |
| 90715 |
|
39 |
37 |
$0.00 |
| 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) |
51 |
47 |
$0.00 |
| 3008F |
|
707 |
629 |
$0.00 |
| 2000F |
|
482 |
415 |
$0.00 |
| 90723 |
|
27 |
25 |
$0.00 |
| 90744 |
|
117 |
113 |
$0.00 |