| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,290 |
6,654 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,940 |
2,733 |
$456K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
430 |
430 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
413 |
393 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
284 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
186 |
$61K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
281 |
277 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
203 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
99 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
352 |
352 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
76 |
$2K |
| 96127 |
|
174 |
174 |
$1K |
| 92551 |
|
379 |
379 |
$871.50 |
| 99173 |
|
403 |
393 |
$410.50 |
| 96161 |
|
111 |
107 |
$242.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
565 |
553 |
$181.34 |
| 81002 |
|
26 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
80 |
$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 |
49 |
$0.00 |
| 87807 |
|
36 |
35 |
$0.00 |