| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,539 |
4,683 |
$547K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,701 |
1,677 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
317 |
313 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
235 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
171 |
$18K |
| 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) |
1,095 |
937 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
123 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
825 |
818 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
205 |
200 |
$7K |
| 90461 |
|
355 |
353 |
$7K |
| 99051 |
|
1,279 |
1,228 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
286 |
279 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
130 |
130 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
86 |
$2K |
| 99442 |
|
23 |
19 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
896 |
891 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
86 |
86 |
$1K |
| 96160 |
|
328 |
328 |
$1K |
| 96127 |
|
323 |
323 |
$834.38 |
| 90686 |
|
282 |
282 |
$816.43 |
| 99173 |
|
798 |
798 |
$762.03 |
| 90677 |
|
12 |
12 |
$288.67 |
| 90656 |
|
211 |
211 |
$162.36 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
43 |
43 |
$101.16 |
| 99177 |
|
47 |
47 |
$16.35 |
| 90670 |
|
40 |
40 |
$0.00 |
| 3725F |
|
79 |
79 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 3008F |
|
299 |
299 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |