| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,840 |
6,362 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,941 |
1,834 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
734 |
732 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
338 |
$29K |
| 90686 |
|
1,841 |
1,815 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
297 |
$26K |
| 87428 |
|
321 |
312 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
299 |
293 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$9K |
| 90670 |
|
253 |
251 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
403 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
399 |
389 |
$6K |
| 90698 |
|
240 |
238 |
$5K |
| 92551 |
|
389 |
385 |
$4K |
| 99174 |
|
559 |
557 |
$3K |
| 90651 |
|
62 |
62 |
$3K |
| 90680 |
|
111 |
111 |
$3K |
| 90633 |
|
147 |
146 |
$2K |
| 99000 |
|
529 |
516 |
$2K |
| 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) |
340 |
321 |
$2K |
| 90685 |
|
113 |
112 |
$1K |
| 83655 |
|
87 |
87 |
$1K |
| 90744 |
|
77 |
77 |
$1K |
| 96127 |
|
185 |
181 |
$924.71 |
| 90656 |
|
45 |
42 |
$896.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
89 |
$798.08 |
| 90716 |
|
37 |
37 |
$710.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
97 |
94 |
$633.45 |
| 90713 |
|
40 |
40 |
$625.65 |
| 90710 |
|
13 |
13 |
$601.15 |
| 99188 |
|
25 |
25 |
$597.75 |
| 90707 |
|
27 |
27 |
$535.63 |
| 85018 |
|
133 |
133 |
$395.33 |
| 90700 |
|
27 |
27 |
$380.88 |
| 99173 |
|
121 |
121 |
$343.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$343.57 |
| 99051 |
|
71 |
68 |
$243.98 |
| 36416 |
|
196 |
193 |
$202.04 |
| 83718 |
|
13 |
13 |
$117.00 |
| 82465 |
|
14 |
14 |
$80.92 |
| 81002 |
|
18 |
18 |
$54.40 |