| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,298 |
3,158 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,911 |
2,797 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
947 |
946 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
670 |
657 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
593 |
591 |
$50K |
| 99215 |
Prolong outpt/office vis |
378 |
336 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
233 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
649 |
639 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
96 |
$4K |
| 99051 |
|
77 |
76 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
76 |
$2K |
| 87428 |
|
70 |
70 |
$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) |
51 |
51 |
$965.00 |
| 90686 |
|
191 |
189 |
$917.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$751.78 |
| 99177 |
|
616 |
615 |
$708.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
396 |
$548.14 |
| 92551 |
|
537 |
534 |
$436.94 |
| 90670 |
|
233 |
229 |
$385.00 |
| 90648 |
|
308 |
304 |
$384.04 |
| 96127 |
|
399 |
399 |
$216.48 |
| 96160 |
|
412 |
412 |
$188.37 |
| 90680 |
|
68 |
64 |
$162.13 |
| 90723 |
|
110 |
106 |
$88.00 |
| 85018 |
|
24 |
24 |
$3.63 |
| G9920 |
Screening performed and negative |
513 |
511 |
$0.00 |
| 90633 |
|
18 |
15 |
$0.00 |
| 90661 |
|
40 |
40 |
$0.00 |
| 99173 |
|
37 |
37 |
$0.00 |
| 90677 |
|
85 |
85 |
$0.00 |
| 96161 |
|
306 |
302 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
174 |
172 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |