| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,582 |
3,111 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,142 |
1,942 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
979 |
971 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,658 |
2,441 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
746 |
730 |
$57K |
| 87428 |
|
690 |
661 |
$45K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
289 |
274 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
371 |
$32K |
| 99429 |
|
1,125 |
1,054 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,674 |
1,300 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
5,883 |
4,982 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
183 |
170 |
$7K |
| 90461 |
|
712 |
608 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
116 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
286 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 92551 |
|
570 |
538 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
158 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 99381 |
|
17 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$889.55 |
| 85018 |
|
142 |
140 |
$102.29 |
| 99072 |
|
82 |
76 |
$93.00 |
| 99000 |
|
13 |
12 |
$86.40 |
| 81003 |
|
44 |
38 |
$71.59 |
| 99001 |
|
14 |
14 |
$66.42 |
| 96160 |
|
24 |
14 |
$37.26 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,013 |
955 |
$17.50 |
| 90686 |
|
845 |
842 |
$0.66 |
| 90677 |
|
101 |
100 |
$0.48 |
| 90671 |
|
128 |
127 |
$0.44 |
| 90697 |
|
183 |
182 |
$0.30 |
| 90670 |
|
446 |
441 |
$0.09 |
| 90672 |
|
81 |
81 |
$0.05 |
| 90633 |
|
238 |
233 |
$0.03 |
| 90680 |
|
274 |
271 |
$0.02 |
| 90651 |
|
43 |
41 |
$0.02 |
| 90698 |
|
125 |
122 |
$0.02 |
| 90619 |
|
13 |
13 |
$0.01 |
| 96127 |
|
43 |
41 |
$0.00 |
| 36416 |
|
230 |
226 |
$0.00 |
| 3008F |
|
652 |
440 |
$0.00 |
| 90744 |
|
45 |
42 |
$0.00 |
| 90656 |
|
115 |
101 |
$0.00 |
| 3074F |
|
92 |
58 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 1125F |
|
27 |
18 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 1159F |
|
343 |
248 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99173 |
|
27 |
20 |
$0.00 |
| 3078F |
|
91 |
59 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$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) |
128 |
97 |
$0.00 |