| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,647 |
6,885 |
$517K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,130 |
9,080 |
$475K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,191 |
1,145 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,035 |
1,004 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
956 |
941 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
693 |
643 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,711 |
1,643 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,905 |
2,795 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
634 |
610 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,218 |
2,099 |
$17K |
| 99051 |
|
430 |
404 |
$12K |
| 92551 |
|
2,709 |
2,548 |
$10K |
| 99050 |
|
93 |
85 |
$9K |
| 90461 |
|
1,114 |
1,073 |
$9K |
| 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) |
890 |
789 |
$8K |
| 99173 |
|
2,666 |
2,509 |
$7K |
| 99188 |
|
367 |
351 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
670 |
332 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
858 |
746 |
$4K |
| 87428 |
|
61 |
59 |
$2K |
| 90686 |
|
194 |
188 |
$2K |
| 90698 |
|
503 |
480 |
$2K |
| 90670 |
|
595 |
575 |
$2K |
| 96160 |
|
643 |
604 |
$869.34 |
| 90688 |
|
514 |
484 |
$672.64 |
| 90680 |
|
321 |
313 |
$660.00 |
| 96161 |
|
363 |
358 |
$546.91 |
| 0072A |
|
12 |
12 |
$476.00 |
| 90744 |
|
78 |
75 |
$471.56 |
| 94664 |
|
39 |
39 |
$406.74 |
| 96127 |
|
216 |
205 |
$406.06 |
| 90633 |
|
86 |
74 |
$230.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$146.25 |
| 83655 |
|
507 |
484 |
$81.86 |
| 99072 |
|
199 |
191 |
$10.80 |
| 90658 |
|
104 |
104 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90677 |
|
245 |
230 |
$0.00 |
| 90619 |
|
128 |
125 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
222 |
214 |
$0.00 |
| 90651 |
|
42 |
40 |
$0.00 |
| 90697 |
|
160 |
150 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |