| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,234 |
11,888 |
$815K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,004 |
4,800 |
$476K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,447 |
2,781 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,459 |
5,164 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,059 |
1,673 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,140 |
1,585 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
999 |
730 |
$85K |
| 90461 |
|
1,284 |
1,190 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,728 |
770 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
143 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
941 |
854 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,227 |
782 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
681 |
514 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
614 |
553 |
$5K |
| 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) |
594 |
550 |
$5K |
| 0001A |
|
199 |
127 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
127 |
122 |
$4K |
| 96127 |
|
4,233 |
3,006 |
$4K |
| H0049 |
Alcohol and/or drug screening |
198 |
193 |
$3K |
| 0002A |
|
176 |
113 |
$3K |
| 91300 |
|
295 |
168 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
179 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
122 |
75 |
$2K |
| 99188 |
|
193 |
146 |
$2K |
| 87807 |
|
464 |
336 |
$1K |
| 96160 |
|
2,167 |
1,551 |
$1K |
| 99460 |
|
23 |
12 |
$980.04 |
| 85018 |
|
1,428 |
1,081 |
$976.14 |
| 0071A |
|
86 |
70 |
$799.58 |
| 83655 |
|
105 |
94 |
$789.76 |
| 90710 |
|
74 |
41 |
$532.45 |
| 90686 |
|
1,372 |
1,086 |
$342.35 |
| 90696 |
|
64 |
39 |
$309.16 |
| 1160F |
|
10,194 |
7,783 |
$207.78 |
| 99051 |
|
82 |
62 |
$170.58 |
| 0072A |
|
23 |
22 |
$160.00 |
| 96161 |
|
1,045 |
716 |
$143.65 |
| 90698 |
|
521 |
379 |
$120.02 |
| 90734 |
|
40 |
25 |
$96.03 |
| 82465 |
|
42 |
24 |
$84.64 |
| 83718 |
|
19 |
14 |
$53.52 |
| 90670 |
|
1,096 |
773 |
$46.01 |
| 90633 |
|
373 |
257 |
$24.01 |
| 99174 |
|
6,736 |
4,924 |
$10.86 |
| 91307 |
|
119 |
105 |
$0.07 |
| 3074F |
|
4,066 |
3,078 |
$0.00 |
| 3008F |
|
9,816 |
7,667 |
$0.00 |
| 36416 |
|
1,118 |
803 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
193 |
149 |
$0.00 |
| 92551 |
|
566 |
416 |
$0.00 |
| 1036F |
|
5,554 |
3,697 |
$0.00 |
| 90744 |
|
243 |
171 |
$0.00 |
| 99000 |
|
757 |
484 |
$0.00 |
| 90680 |
|
464 |
337 |
$0.00 |
| 90677 |
|
88 |
84 |
$0.00 |
| 90651 |
|
73 |
45 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |
| 3725F |
|
3,998 |
3,144 |
$0.00 |
| 3078F |
|
4,277 |
2,931 |
$0.00 |
| 99072 |
|
202 |
185 |
$0.00 |
| 90700 |
|
22 |
14 |
$0.00 |
| 90707 |
|
16 |
14 |
$0.00 |
| 81002 |
|
22 |
15 |
$0.00 |