| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,833 |
4,638 |
$373K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,550 |
2,500 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,235 |
1,227 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,003 |
999 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
885 |
878 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
696 |
694 |
$63K |
| 99051 |
|
1,125 |
1,118 |
$32K |
| 99215 |
Prolong outpt/office vis |
213 |
200 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
525 |
516 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,091 |
1,067 |
$16K |
| 87428 |
|
451 |
443 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
653 |
331 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
132 |
130 |
$4K |
| 90686 |
|
664 |
660 |
$3K |
| 90670 |
|
373 |
368 |
$2K |
| 90648 |
|
550 |
543 |
$2K |
| 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) |
59 |
57 |
$1K |
| 99188 |
|
53 |
53 |
$1K |
| 0071A |
|
40 |
40 |
$1K |
| 90680 |
|
164 |
162 |
$858.13 |
| 90723 |
|
217 |
216 |
$781.00 |
| 92551 |
|
992 |
991 |
$652.42 |
| 96127 |
|
890 |
887 |
$581.18 |
| 96160 |
|
897 |
894 |
$520.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
618 |
616 |
$463.35 |
| 99177 |
|
558 |
555 |
$403.47 |
| 0072A |
|
28 |
28 |
$264.00 |
| 99173 |
|
191 |
191 |
$133.69 |
| 90633 |
|
91 |
89 |
$132.00 |
| 90734 |
|
14 |
12 |
$120.00 |
| 80061 |
Lipid panel |
14 |
14 |
$24.21 |
| 85018 |
|
12 |
12 |
$3.37 |
| 96161 |
|
511 |
508 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
362 |
359 |
$0.00 |
| 90677 |
|
177 |
175 |
$0.00 |
| 90620 |
|
39 |
39 |
$0.00 |
| 90619 |
|
50 |
50 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
39 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| G9920 |
Screening performed and negative |
691 |
686 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| 90661 |
|
78 |
78 |
$0.00 |