| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,028 |
14,519 |
$892K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,665 |
3,584 |
$338K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,212 |
11,193 |
$249K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,343 |
2,342 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,255 |
2,254 |
$178K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,170 |
3,102 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,058 |
1,011 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
869 |
869 |
$73K |
| 98966 |
|
1,537 |
1,491 |
$15K |
| 96127 |
|
2,374 |
2,313 |
$12K |
| G9007 |
Coordinated care fee, scheduled team conference |
99 |
96 |
$10K |
| 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) |
1,193 |
1,154 |
$9K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
76 |
76 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
694 |
685 |
$7K |
| 99051 |
|
806 |
794 |
$5K |
| 98967 |
|
237 |
234 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
554 |
545 |
$4K |
| 90677 |
|
41 |
41 |
$2K |
| 99408 |
|
220 |
219 |
$913.48 |
| 94760 |
|
2,197 |
2,154 |
$763.16 |
| 90656 |
|
142 |
142 |
$623.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
38 |
$513.13 |
| 99442 |
|
13 |
13 |
$366.88 |
| 83655 |
|
30 |
29 |
$324.87 |
| 90461 |
|
579 |
579 |
$128.76 |
| 85018 |
|
31 |
30 |
$60.35 |
| 90686 |
|
2,544 |
2,539 |
$58.23 |
| 90698 |
|
224 |
224 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 36416 |
|
17 |
17 |
$0.00 |
| 90670 |
|
183 |
183 |
$0.00 |
| 90685 |
|
131 |
131 |
$0.00 |
| 90633 |
|
201 |
201 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |