| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,447 |
5,573 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,361 |
8,100 |
$566K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,208 |
5,671 |
$235K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,054 |
1,862 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,875 |
1,751 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
902 |
838 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,648 |
4,926 |
$72K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
268 |
233 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,517 |
1,368 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
197 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,656 |
1,521 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
607 |
561 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
175 |
165 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
794 |
700 |
$11K |
| 96127 |
|
622 |
563 |
$4K |
| 99000 |
|
3,237 |
2,646 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
100 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
233 |
213 |
$3K |
| 99177 |
|
504 |
493 |
$3K |
| 90670 |
|
605 |
549 |
$3K |
| 90671 |
|
84 |
82 |
$3K |
| 81002 |
|
887 |
770 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
69 |
65 |
$2K |
| 90461 |
|
2,728 |
2,531 |
$2K |
| 36416 |
|
1,320 |
1,035 |
$2K |
| 90686 |
|
586 |
543 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
35 |
$1K |
| 90480 |
|
32 |
31 |
$1K |
| 90698 |
|
345 |
318 |
$1K |
| 96160 |
|
2,591 |
2,273 |
$782.91 |
| 0071A |
|
12 |
12 |
$741.24 |
| 90680 |
|
302 |
282 |
$725.48 |
| 80061 |
Lipid panel |
59 |
51 |
$721.89 |
| 99050 |
|
104 |
103 |
$703.56 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
14 |
$464.55 |
| D0190 |
|
30 |
29 |
$448.04 |
| 90656 |
|
205 |
203 |
$442.64 |
| 91321 |
|
12 |
12 |
$309.60 |
| 94760 |
|
237 |
218 |
$305.08 |
| 96380 |
|
12 |
12 |
$253.93 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$213.20 |
| 90734 |
|
15 |
13 |
$161.57 |
| 87807 |
|
13 |
12 |
$157.20 |
| 90633 |
|
170 |
159 |
$125.54 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
37 |
$110.70 |
| 99072 |
|
303 |
275 |
$77.00 |
| 90687 |
|
292 |
270 |
$68.88 |
| 85018 |
|
27 |
24 |
$56.91 |
| 99173 |
|
13 |
13 |
$31.59 |
| 96161 |
|
310 |
283 |
$21.77 |
| 90688 |
|
746 |
649 |
$0.01 |
| 90700 |
|
33 |
32 |
$0.00 |
| 90707 |
|
81 |
77 |
$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) |
922 |
867 |
$0.00 |
| 90716 |
|
78 |
76 |
$0.00 |
| 99070 |
|
30 |
30 |
$0.00 |
| 91307 |
|
30 |
30 |
$0.00 |
| 90744 |
|
99 |
97 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |