| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,853 |
3,347 |
$292K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,067 |
2,724 |
$291K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
736 |
682 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,622 |
1,455 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
403 |
397 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
477 |
398 |
$32K |
| 99215 |
Prolong outpt/office vis |
125 |
117 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
191 |
$19K |
| 90461 |
|
597 |
574 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
468 |
446 |
$6K |
| 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) |
609 |
559 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
206 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
118 |
116 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
182 |
$2K |
| 96127 |
|
819 |
687 |
$2K |
| 99460 |
|
14 |
14 |
$1K |
| H0049 |
Alcohol and/or drug screening |
77 |
77 |
$1K |
| 96160 |
|
407 |
327 |
$659.81 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$575.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$444.18 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
29 |
12 |
$330.00 |
| 85018 |
|
185 |
180 |
$280.52 |
| 90661 |
|
13 |
13 |
$240.10 |
| 83655 |
|
26 |
26 |
$195.02 |
| 99188 |
|
12 |
12 |
$175.20 |
| 90698 |
|
69 |
67 |
$72.03 |
| 90686 |
|
260 |
251 |
$42.18 |
| 99174 |
|
1,724 |
1,311 |
$18.21 |
| 1160F |
|
5,059 |
4,231 |
$0.00 |
| 3078F |
|
1,460 |
1,028 |
$0.00 |
| 3725F |
|
1,550 |
1,259 |
$0.00 |
| 90670 |
|
160 |
126 |
$0.00 |
| 90633 |
|
41 |
39 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
13 |
$0.00 |
| 3008F |
|
4,559 |
3,632 |
$0.00 |
| 3074F |
|
1,443 |
1,134 |
$0.00 |
| 1036F |
|
1,621 |
1,085 |
$0.00 |
| 90677 |
|
88 |
84 |
$0.00 |
| 36416 |
|
161 |
160 |
$0.00 |
| 92551 |
|
50 |
48 |
$0.00 |
| 90744 |
|
28 |
26 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |