| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,254 |
6,775 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,312 |
4,118 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,555 |
1,550 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,301 |
1,296 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,153 |
1,138 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
981 |
979 |
$83K |
| 99051 |
|
2,106 |
2,085 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,055 |
1,033 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
323 |
160 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
90 |
$3K |
| 87428 |
|
61 |
61 |
$2K |
| 90670 |
|
550 |
539 |
$2K |
| 90648 |
|
805 |
787 |
$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) |
69 |
61 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
846 |
842 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$996.60 |
| 90723 |
|
470 |
464 |
$979.00 |
| 90686 |
|
200 |
199 |
$836.00 |
| 90680 |
|
363 |
357 |
$714.13 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$675.00 |
| 99460 |
|
14 |
14 |
$548.66 |
| 99177 |
|
1,207 |
1,205 |
$525.24 |
| 90688 |
|
47 |
45 |
$509.00 |
| 92551 |
|
1,353 |
1,351 |
$508.90 |
| 96127 |
|
1,363 |
1,363 |
$354.64 |
| 96160 |
|
1,361 |
1,361 |
$304.77 |
| 90734 |
|
43 |
42 |
$168.00 |
| 90633 |
|
162 |
162 |
$143.00 |
| 90651 |
|
82 |
82 |
$121.00 |
| 85018 |
|
231 |
231 |
$39.56 |
| 99173 |
|
135 |
135 |
$25.00 |
| 90661 |
|
63 |
63 |
$0.00 |
| G9920 |
Screening performed and negative |
905 |
905 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 83655 |
|
140 |
140 |
$0.00 |
| 90715 |
|
45 |
45 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 96161 |
|
780 |
775 |
$0.00 |
| 90677 |
|
272 |
265 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
439 |
430 |
$0.00 |
| 90619 |
|
125 |
125 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |