| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,697 |
3,354 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
843 |
783 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
193 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
116 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
345 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
42 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
218 |
212 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
47 |
$2K |
| 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) |
562 |
535 |
$1K |
| 90686 |
|
650 |
616 |
$1K |
| 99188 |
|
69 |
63 |
$1K |
| 87428 |
|
20 |
20 |
$375.00 |
| 99051 |
|
14 |
12 |
$360.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
368 |
266 |
$155.28 |
| 96127 |
|
141 |
140 |
$154.24 |
| 92551 |
|
212 |
202 |
$150.91 |
| 96160 |
|
140 |
140 |
$122.67 |
| 96161 |
|
33 |
24 |
$0.00 |
| 90651 |
|
157 |
149 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
82 |
80 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |
| 90619 |
|
50 |
50 |
$0.00 |
| 90620 |
|
46 |
46 |
$0.00 |
| 90677 |
|
89 |
82 |
$0.00 |
| 90723 |
|
76 |
76 |
$0.00 |
| 90656 |
|
111 |
111 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
446 |
409 |
$0.00 |
| 90661 |
|
98 |
98 |
$0.00 |
| 90648 |
|
227 |
218 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90670 |
|
126 |
126 |
$0.00 |
| 90633 |
|
21 |
13 |
$0.00 |