| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,497 |
11,603 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,381 |
4,056 |
$370K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,457 |
2,531 |
$250K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,959 |
2,427 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,566 |
1,182 |
$111K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,697 |
4,403 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
897 |
649 |
$69K |
| D1206 |
Topical application of fluoride varnish |
2,738 |
2,016 |
$69K |
| 92551 |
|
4,259 |
3,260 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,724 |
1,485 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,476 |
1,874 |
$53K |
| 96127 |
|
2,319 |
1,856 |
$38K |
| 90686 |
|
3,297 |
2,423 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,300 |
1,104 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,603 |
1,178 |
$19K |
| 90670 |
|
1,810 |
1,418 |
$18K |
| 90698 |
|
1,542 |
1,229 |
$16K |
| 99402 |
|
477 |
334 |
$14K |
| 90680 |
|
1,252 |
1,001 |
$13K |
| 90633 |
|
1,050 |
748 |
$13K |
| 99000 |
|
420 |
388 |
$10K |
| 90744 |
|
771 |
652 |
$8K |
| 99174 |
|
1,057 |
730 |
$8K |
| 90700 |
|
625 |
459 |
$8K |
| 90677 |
|
417 |
349 |
$7K |
| 90716 |
|
587 |
441 |
$7K |
| 90707 |
|
574 |
442 |
$7K |
| 90656 |
|
339 |
331 |
$5K |
| 90672 |
|
413 |
326 |
$5K |
| 0071A |
|
113 |
82 |
$5K |
| 0111A |
|
96 |
37 |
$4K |
| 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) |
469 |
378 |
$3K |
| 0072A |
|
80 |
63 |
$3K |
| 90651 |
|
220 |
162 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
215 |
194 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
206 |
188 |
$3K |
| 91311 |
|
176 |
79 |
$2K |
| 0001A |
|
54 |
38 |
$2K |
| 90619 |
|
116 |
94 |
$2K |
| 90685 |
|
252 |
168 |
$2K |
| 91321 |
|
75 |
70 |
$2K |
| 90734 |
|
111 |
68 |
$1K |
| 90660 |
|
77 |
76 |
$1K |
| 0112A |
|
29 |
12 |
$1K |
| 91307 |
|
179 |
139 |
$993.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
81 |
$990.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
57 |
$981.26 |
| 90715 |
|
71 |
40 |
$957.32 |
| 0003A |
|
22 |
12 |
$872.80 |
| 90381 |
|
52 |
40 |
$852.21 |
| 91318 |
|
47 |
44 |
$785.37 |
| 90713 |
|
43 |
39 |
$718.53 |
| 99072 |
|
874 |
638 |
$552.50 |
| 90380 |
|
28 |
28 |
$467.88 |
| 91319 |
|
23 |
21 |
$384.33 |
| 90648 |
|
23 |
13 |
$359.32 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$261.00 |
| 85018 |
|
30 |
24 |
$65.40 |