| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,117 |
5,674 |
$408K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,396 |
2,281 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,332 |
1,311 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
878 |
865 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
996 |
892 |
$118K |
| 96160 |
|
2,925 |
2,503 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
169 |
$26K |
| 90686 |
|
1,316 |
1,301 |
$25K |
| 99072 |
|
5,819 |
5,459 |
$19K |
| D0191 |
|
1,065 |
1,057 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,408 |
1,057 |
$12K |
| 96127 |
|
736 |
468 |
$10K |
| 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) |
683 |
651 |
$9K |
| 99173 |
|
1,140 |
1,126 |
$8K |
| 90670 |
|
303 |
300 |
$6K |
| 90698 |
|
283 |
282 |
$6K |
| 96154 |
|
92 |
86 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
170 |
168 |
$5K |
| 90656 |
|
137 |
137 |
$3K |
| D1206 |
Topical application of fluoride varnish |
168 |
166 |
$2K |
| 90680 |
|
107 |
107 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
13 |
$2K |
| 96161 |
|
114 |
108 |
$2K |
| 94760 |
|
769 |
732 |
$2K |
| 90685 |
|
77 |
77 |
$2K |
| 90651 |
|
81 |
81 |
$2K |
| 90688 |
|
43 |
42 |
$900.36 |
| 90633 |
|
40 |
40 |
$878.40 |
| 90744 |
|
26 |
26 |
$395.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$301.73 |
| 90619 |
|
12 |
12 |
$263.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$130.63 |
| 36416 |
|
12 |
12 |
$44.10 |
| 99000 |
|
132 |
118 |
$0.00 |