| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,435 |
4,956 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,920 |
2,703 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,450 |
2,424 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,884 |
1,880 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,058 |
1,908 |
$143K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,339 |
4,281 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,000 |
999 |
$86K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
467 |
452 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,341 |
1,069 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
979 |
976 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
250 |
$8K |
| 92551 |
|
1,002 |
999 |
$7K |
| 98966 |
|
746 |
709 |
$5K |
| 90480 |
|
113 |
113 |
$5K |
| 96161 |
|
1,180 |
1,066 |
$3K |
| 0071A |
|
63 |
62 |
$2K |
| 0072A |
|
56 |
55 |
$2K |
| 83655 |
|
181 |
174 |
$2K |
| 85018 |
|
851 |
843 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
102 |
$2K |
| 80061 |
Lipid panel |
96 |
93 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
74 |
$1K |
| 36416 |
|
973 |
953 |
$864.50 |
| G9002 |
Coordinated care fee, maintenance rate |
24 |
24 |
$808.80 |
| 96127 |
|
193 |
182 |
$764.20 |
| 0001A |
|
12 |
12 |
$454.20 |
| 0002A |
|
12 |
12 |
$454.20 |
| 99177 |
|
121 |
119 |
$236.74 |
| 99051 |
|
83 |
81 |
$115.00 |
| 99401 |
|
67 |
64 |
$22.78 |
| 81002 |
|
18 |
15 |
$18.70 |
| 94760 |
|
165 |
120 |
$10.50 |
| 99173 |
|
1,178 |
1,172 |
$8.57 |
| 90698 |
|
963 |
942 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,616 |
1,451 |
$0.00 |
| 90686 |
|
2,254 |
2,249 |
$0.00 |
| 90677 |
|
207 |
205 |
$0.00 |
| 90651 |
|
64 |
62 |
$0.00 |
| 90680 |
|
722 |
701 |
$0.00 |
| 90697 |
|
242 |
239 |
$0.00 |
| 90744 |
|
198 |
187 |
$0.00 |
| 91319 |
|
13 |
13 |
$0.00 |
| 90656 |
|
224 |
224 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90461 |
|
2,180 |
2,147 |
$0.00 |
| 90670 |
|
1,215 |
1,193 |
$0.00 |
| 90633 |
|
406 |
396 |
$0.00 |
| 90734 |
|
43 |
41 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 91311 |
|
47 |
47 |
$0.00 |
| G9920 |
Screening performed and negative |
834 |
828 |
$0.00 |
| 90685 |
|
253 |
240 |
$0.00 |
| 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) |
18 |
18 |
$0.00 |