| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,474 |
5,163 |
$339K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
791 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
331 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
313 |
313 |
$40K |
| 96160 |
|
2,450 |
2,107 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
174 |
$24K |
| 99072 |
|
4,987 |
4,778 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
647 |
628 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$12K |
| 90686 |
|
414 |
409 |
$8K |
| D0191 |
|
571 |
571 |
$8K |
| 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) |
547 |
524 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
66 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
355 |
270 |
$3K |
| 99173 |
|
315 |
313 |
$2K |
| 96154 |
|
29 |
28 |
$2K |
| 96127 |
|
132 |
93 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
52 |
$1K |
| 94760 |
|
324 |
311 |
$717.27 |
| 90656 |
|
16 |
16 |
$329.40 |
| 90620 |
|
13 |
13 |
$285.48 |
| 90651 |
|
13 |
13 |
$285.48 |
| 90685 |
|
12 |
12 |
$263.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$175.18 |
| 99070 |
|
589 |
571 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |