| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,508 |
5,245 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,913 |
1,808 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,064 |
3,647 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,392 |
1,243 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,650 |
1,444 |
$120K |
| 92650 |
|
933 |
843 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
263 |
$25K |
| 96160 |
|
5,697 |
5,153 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
583 |
567 |
$20K |
| 90461 |
|
1,216 |
1,031 |
$14K |
| 99188 |
|
677 |
623 |
$11K |
| 96161 |
|
2,817 |
2,396 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,036 |
930 |
$8K |
| 96127 |
|
1,762 |
1,613 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
784 |
666 |
$7K |
| 92586 |
|
101 |
95 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
318 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
42 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
103 |
101 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
118 |
$3K |
| 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) |
705 |
627 |
$3K |
| 90677 |
|
558 |
455 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
127 |
$2K |
| 99429 |
|
221 |
173 |
$1K |
| 90474 |
|
147 |
131 |
$839.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
13 |
$676.07 |
| 97802 |
|
1,170 |
1,057 |
$615.00 |
| 80061 |
Lipid panel |
15 |
13 |
$218.26 |
| 85018 |
|
55 |
54 |
$163.27 |
| 90670 |
|
377 |
337 |
$90.00 |
| 99173 |
|
244 |
211 |
$27.98 |
| 92558 |
|
186 |
179 |
$24.00 |
| 90656 |
|
91 |
75 |
$0.15 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,270 |
1,207 |
$0.00 |
| 90686 |
|
567 |
535 |
$0.00 |
| 90723 |
|
574 |
478 |
$0.00 |
| 90680 |
|
280 |
246 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
15 |
$0.00 |
| 99174 |
|
83 |
78 |
$0.00 |
| 90648 |
|
880 |
752 |
$0.00 |
| 90633 |
|
83 |
66 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 92552 |
|
23 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |