| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,494 |
8,149 |
$666K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,137 |
7,773 |
$458K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,741 |
3,734 |
$339K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,517 |
4,463 |
$316K |
| 99215 |
Prolong outpt/office vis |
1,893 |
1,811 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,010 |
2,008 |
$184K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,060 |
9,036 |
$118K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,797 |
5,790 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
787 |
786 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
485 |
485 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,982 |
1,945 |
$39K |
| 99381 |
|
269 |
269 |
$24K |
| 90474 |
|
2,316 |
2,311 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
512 |
183 |
$22K |
| 94010 |
|
1,240 |
1,229 |
$21K |
| 99205 |
Prolong outpt/office vis |
123 |
122 |
$15K |
| 99383 |
|
112 |
112 |
$11K |
| 96127 |
|
2,332 |
2,318 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
462 |
437 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
62 |
59 |
$7K |
| 90480 |
|
304 |
302 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
140 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
26 |
26 |
$3K |
| 96381 |
|
130 |
130 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
122 |
$2K |
| 94060 |
|
53 |
53 |
$1K |
| 83655 |
|
65 |
64 |
$1K |
| 90677 |
|
1,006 |
1,003 |
$1K |
| 90671 |
|
593 |
591 |
$984.80 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$927.12 |
| 96112 |
|
14 |
14 |
$881.15 |
| 99460 |
|
12 |
12 |
$599.28 |
| 90651 |
|
507 |
507 |
$458.68 |
| 90686 |
|
2,557 |
2,554 |
$407.51 |
| 90473 |
|
15 |
15 |
$345.45 |
| 91320 |
|
33 |
33 |
$311.80 |
| 99188 |
|
26 |
26 |
$193.96 |
| 85018 |
|
86 |
85 |
$164.80 |
| 90734 |
|
212 |
212 |
$128.85 |
| 90656 |
|
472 |
472 |
$44.70 |
| 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) |
148 |
141 |
$37.85 |
| 96161 |
|
12 |
12 |
$18.96 |
| 3079F |
|
386 |
381 |
$0.00 |
| 1036F |
|
11,635 |
10,427 |
$0.00 |
| 90696 |
|
419 |
418 |
$0.00 |
| 3074F |
|
7,637 |
7,285 |
$0.00 |
| 1126F |
|
330 |
294 |
$0.00 |
| 90688 |
|
73 |
73 |
$0.00 |
| 3008F |
|
14,118 |
13,503 |
$0.00 |
| 90716 |
|
706 |
705 |
$0.00 |
| 90697 |
|
1,961 |
1,957 |
$0.00 |
| 90698 |
|
1,152 |
1,152 |
$0.00 |
| 3075F |
|
135 |
128 |
$0.00 |
| 90680 |
|
2,188 |
2,184 |
$0.00 |
| 90744 |
|
294 |
294 |
$0.00 |
| 91319 |
|
65 |
65 |
$0.00 |
| 90381 |
|
87 |
87 |
$0.00 |
| 91318 |
|
103 |
101 |
$0.00 |
| 90707 |
|
693 |
692 |
$0.00 |
| 90710 |
|
465 |
463 |
$0.00 |
| 90670 |
|
1,553 |
1,551 |
$0.00 |
| 90633 |
|
1,487 |
1,486 |
$0.00 |
| 1160F |
|
13,185 |
12,171 |
$0.00 |
| 90715 |
|
179 |
179 |
$0.00 |
| 3078F |
|
7,499 |
7,146 |
$0.00 |
| 3725F |
|
1,358 |
1,344 |
$0.00 |
| 1159F |
|
13,208 |
12,192 |
$0.00 |
| 90380 |
|
17 |
17 |
$0.00 |
| 99051 |
|
44 |
44 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |