| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,503 |
9,907 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,167 |
5,730 |
$340K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,699 |
1,630 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,802 |
1,720 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,196 |
1,133 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
714 |
665 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,029 |
773 |
$18K |
| 90686 |
|
1,885 |
1,852 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
193 |
191 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,046 |
1,972 |
$8K |
| 90651 |
|
1,036 |
1,006 |
$6K |
| 90734 |
|
1,029 |
991 |
$6K |
| 90670 |
|
1,359 |
1,350 |
$5K |
| 90647 |
|
1,488 |
1,430 |
$4K |
| 90723 |
|
1,458 |
1,417 |
$4K |
| 90633 |
|
1,015 |
989 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
249 |
$3K |
| 90620 |
|
682 |
668 |
$2K |
| 90681 |
|
841 |
829 |
$2K |
| 92551 |
|
1,628 |
1,579 |
$2K |
| 90710 |
|
881 |
855 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
643 |
598 |
$2K |
| 99051 |
|
116 |
110 |
$2K |
| 90715 |
|
332 |
309 |
$1K |
| 96127 |
|
669 |
505 |
$1K |
| 99188 |
|
94 |
94 |
$614.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
260 |
196 |
$385.84 |
| 90461 |
|
19 |
13 |
$384.41 |
| 96160 |
|
482 |
466 |
$350.96 |
| 99173 |
|
1,293 |
1,267 |
$337.83 |
| 90700 |
|
93 |
93 |
$308.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$214.50 |
| 96161 |
|
371 |
351 |
$176.56 |
| 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 |
59 |
$109.46 |
| 94760 |
|
288 |
277 |
$65.88 |
| 83655 |
|
55 |
53 |
$64.58 |
| 99499 |
|
52 |
52 |
$50.00 |
| 85018 |
|
42 |
41 |
$26.41 |
| G9920 |
Screening performed and negative |
1,317 |
1,284 |
$0.00 |
| 80061 |
Lipid panel |
28 |
27 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
46 |
43 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
214 |
207 |
$0.00 |
| 90677 |
|
529 |
512 |
$0.00 |
| 90656 |
|
255 |
252 |
$0.00 |
| 96380 |
|
12 |
12 |
$0.00 |
| 90696 |
|
25 |
24 |
$0.00 |