| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,309 |
6,028 |
$342K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,772 |
2,771 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,499 |
2,418 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,331 |
7,304 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,207 |
2,206 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,967 |
1,896 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,254 |
1,253 |
$95K |
| 99188 |
|
1,898 |
1,896 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,921 |
2,874 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
478 |
475 |
$15K |
| 99383 |
|
160 |
160 |
$10K |
| 83655 |
|
583 |
582 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
514 |
501 |
$7K |
| 99051 |
|
1,154 |
1,140 |
$5K |
| 96127 |
|
1,298 |
1,292 |
$5K |
| 0071A |
|
116 |
116 |
$4K |
| 99442 |
|
90 |
88 |
$4K |
| 99381 |
|
60 |
58 |
$4K |
| 90461 |
|
1,216 |
1,216 |
$4K |
| 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) |
431 |
417 |
$3K |
| 99382 |
|
39 |
39 |
$3K |
| 0072A |
|
71 |
71 |
$3K |
| 99422 |
|
88 |
87 |
$2K |
| 90677 |
|
181 |
180 |
$1K |
| 85018 |
|
677 |
676 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
41 |
$902.61 |
| 96160 |
|
1,535 |
1,472 |
$882.47 |
| 99050 |
|
181 |
179 |
$853.68 |
| 90686 |
|
2,484 |
2,477 |
$735.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
49 |
$499.74 |
| 0054A |
|
12 |
12 |
$429.28 |
| 99441 |
|
14 |
14 |
$399.16 |
| 90620 |
|
12 |
12 |
$388.54 |
| 90651 |
|
368 |
368 |
$278.96 |
| 90670 |
|
968 |
966 |
$195.30 |
| 90656 |
|
130 |
130 |
$111.10 |
| 94760 |
|
181 |
173 |
$84.97 |
| 81002 |
|
25 |
24 |
$51.73 |
| 91307 |
|
261 |
255 |
$0.24 |
| 90633 |
|
635 |
634 |
$0.21 |
| 90648 |
|
597 |
597 |
$0.19 |
| 90723 |
|
532 |
531 |
$0.15 |
| 90734 |
|
164 |
164 |
$0.08 |
| 90715 |
|
27 |
27 |
$0.05 |
| 91305 |
|
63 |
62 |
$0.02 |
| 90710 |
|
172 |
172 |
$0.00 |
| 90672 |
|
66 |
66 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 90680 |
|
359 |
359 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
219 |
213 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90698 |
|
43 |
43 |
$0.00 |