| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,360 |
6,002 |
$645K |
| 99199 |
Unlisted special service, procedure or report |
87,269 |
52,472 |
$518K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,336 |
3,551 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,244 |
1,972 |
$204K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,169 |
1,808 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,673 |
1,526 |
$151K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,722 |
4,974 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,077 |
951 |
$103K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,822 |
2,490 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,104 |
3,654 |
$41K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,165 |
1,021 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,258 |
1,114 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
449 |
397 |
$27K |
| 99051 |
|
1,131 |
953 |
$24K |
| D1206 |
Topical application of fluoride varnish |
1,166 |
1,021 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
986 |
454 |
$12K |
| 90474 |
|
413 |
374 |
$8K |
| 96127 |
|
1,800 |
1,601 |
$7K |
| 99381 |
|
58 |
56 |
$6K |
| 92551 |
|
4,355 |
3,919 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
423 |
366 |
$5K |
| 90651 |
|
116 |
105 |
$3K |
| 87634 |
|
110 |
101 |
$3K |
| 96161 |
|
863 |
720 |
$3K |
| 99173 |
|
4,156 |
3,748 |
$3K |
| 90686 |
|
1,433 |
1,209 |
$3K |
| 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) |
1,171 |
929 |
$3K |
| 90698 |
|
190 |
157 |
$2K |
| 99383 |
|
21 |
21 |
$2K |
| 92567 |
|
169 |
140 |
$2K |
| 99382 |
|
16 |
15 |
$2K |
| 90619 |
|
45 |
39 |
$1K |
| 0072A |
|
18 |
18 |
$1K |
| 90670 |
|
516 |
430 |
$1K |
| 85018 |
|
372 |
339 |
$870.76 |
| 90734 |
|
44 |
36 |
$845.45 |
| 90697 |
|
263 |
245 |
$571.55 |
| 87807 |
|
45 |
42 |
$536.94 |
| 90674 |
|
317 |
280 |
$433.23 |
| 90473 |
|
18 |
17 |
$267.50 |
| 81002 |
|
75 |
63 |
$189.00 |
| 90661 |
|
164 |
151 |
$98.27 |
| 90671 |
|
382 |
369 |
$0.87 |
| 90633 |
|
139 |
128 |
$0.00 |
| 99072 |
|
14 |
14 |
$0.00 |
| 90680 |
|
382 |
347 |
$0.00 |
| 99174 |
|
408 |
357 |
$0.00 |
| 91307 |
|
48 |
39 |
$0.00 |
| 90744 |
|
51 |
41 |
$0.00 |
| 90660 |
|
23 |
22 |
$0.00 |