| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,674 |
2,327 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,410 |
1,216 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,046 |
984 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
833 |
780 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
470 |
456 |
$50K |
| 90686 |
|
1,230 |
1,192 |
$27K |
| 96127 |
|
1,575 |
1,454 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
253 |
243 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
728 |
689 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
59 |
$6K |
| 99173 |
|
2,344 |
2,193 |
$6K |
| 81002 |
|
2,032 |
1,866 |
$5K |
| 88738 |
|
1,062 |
1,026 |
$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) |
288 |
199 |
$4K |
| 90656 |
|
162 |
136 |
$3K |
| 90651 |
|
101 |
98 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
68 |
$2K |
| 0071A |
|
86 |
58 |
$2K |
| 85018 |
|
604 |
556 |
$1K |
| 90734 |
|
48 |
48 |
$1K |
| 0072A |
|
63 |
39 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
54 |
$763.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$694.35 |
| 99174 |
|
107 |
104 |
$655.97 |
| 90621 |
|
25 |
25 |
$530.78 |
| 36415 |
Collection of venous blood by venipuncture |
247 |
225 |
$459.52 |
| 90670 |
|
15 |
13 |
$349.20 |
| 90698 |
|
15 |
13 |
$316.58 |
| 96160 |
|
126 |
114 |
$296.39 |
| 92551 |
|
42 |
42 |
$262.44 |
| 90661 |
|
18 |
17 |
$256.08 |
| 36416 |
|
637 |
530 |
$191.60 |
| 99000 |
|
165 |
139 |
$42.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
16 |
$0.00 |
| 91307 |
|
84 |
71 |
$0.00 |
| 99072 |
|
233 |
206 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163 |
120 |
$0.00 |