| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,260 |
2,067 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,599 |
2,393 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,542 |
1,500 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,460 |
1,308 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
373 |
364 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,804 |
2,228 |
$30K |
| 90461 |
|
1,290 |
1,154 |
$14K |
| 92552 |
|
1,024 |
1,010 |
$12K |
| 99188 |
|
933 |
889 |
$10K |
| 90698 |
|
451 |
432 |
$2K |
| 90686 |
|
413 |
407 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
158 |
151 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,004 |
809 |
$1K |
| 90670 |
|
445 |
427 |
$1K |
| 83655 |
|
186 |
174 |
$782.87 |
| 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) |
69 |
64 |
$621.17 |
| 94760 |
|
683 |
630 |
$203.47 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,310 |
1,187 |
$134.41 |
| 90680 |
|
117 |
115 |
$120.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$113.89 |
| 96161 |
|
274 |
185 |
$74.01 |
| 90633 |
|
102 |
100 |
$34.85 |
| 90744 |
|
96 |
94 |
$24.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
45 |
$19.86 |
| 85018 |
|
15 |
14 |
$17.94 |
| 99174 |
|
489 |
457 |
$0.00 |
| 36416 |
|
665 |
621 |
$0.00 |
| 99060 |
|
219 |
209 |
$0.00 |
| 99173 |
|
1,276 |
1,150 |
$0.00 |