| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,441 |
10,427 |
$713K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,355 |
23,252 |
$665K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,786 |
13,355 |
$570K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,679 |
7,641 |
$480K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,935 |
6,931 |
$471K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,501 |
2,495 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,595 |
2,547 |
$159K |
| 99441 |
|
5,120 |
5,030 |
$77K |
| 83655 |
|
2,044 |
2,041 |
$24K |
| 99381 |
|
122 |
122 |
$9K |
| 96160 |
|
5,730 |
5,724 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
406 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
597 |
596 |
$4K |
| 0071A |
|
88 |
88 |
$3K |
| 85018 |
|
2,323 |
2,323 |
$3K |
| 0072A |
|
74 |
74 |
$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) |
533 |
521 |
$3K |
| 87428 |
|
26 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
399 |
$1K |
| 99051 |
|
241 |
239 |
$1K |
| 90480 |
|
24 |
24 |
$890.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$797.42 |
| 99382 |
|
12 |
12 |
$752.82 |
| 90686 |
|
4,032 |
4,024 |
$723.20 |
| 99442 |
|
15 |
14 |
$436.74 |
| 0111A |
|
16 |
13 |
$402.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$352.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
44 |
42 |
$259.56 |
| 99401 |
|
15 |
15 |
$159.06 |
| 90688 |
|
1,270 |
1,267 |
$126.86 |
| 90734 |
|
138 |
138 |
$85.00 |
| 36416 |
|
3,169 |
3,154 |
$83.04 |
| 90656 |
|
344 |
344 |
$44.06 |
| 94760 |
|
99 |
94 |
$16.79 |
| 91311 |
|
20 |
15 |
$2.28 |
| 90671 |
|
625 |
625 |
$0.37 |
| 90685 |
|
347 |
347 |
$0.24 |
| 91321 |
|
70 |
70 |
$0.20 |
| 90697 |
|
599 |
598 |
$0.03 |
| 90670 |
|
4,247 |
4,240 |
$0.02 |
| 99080 |
|
2,358 |
2,354 |
$0.00 |
| 90633 |
|
952 |
952 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |
| 99499 |
|
764 |
764 |
$0.00 |
| 90710 |
|
83 |
83 |
$0.00 |
| 90698 |
|
2,784 |
2,783 |
$0.00 |
| 90680 |
|
2,398 |
2,394 |
$0.00 |
| 90651 |
|
301 |
299 |
$0.00 |
| 90744 |
|
804 |
802 |
$0.00 |
| 90620 |
|
48 |
48 |
$0.00 |
| 90696 |
|
93 |
93 |
$0.00 |
| 90619 |
|
99 |
99 |
$0.00 |
| 91307 |
|
147 |
147 |
$0.00 |
| 90716 |
|
52 |
52 |
$0.00 |