| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,166 |
8,231 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,472 |
3,044 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,938 |
1,710 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,834 |
1,784 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
939 |
918 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,315 |
4,138 |
$78K |
| 90461 |
|
2,154 |
2,066 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,485 |
1,382 |
$39K |
| 99188 |
|
3,360 |
3,241 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
179 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,992 |
951 |
$15K |
| 99381 |
|
107 |
97 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,074 |
967 |
$6K |
| 99382 |
|
43 |
43 |
$4K |
| 90716 |
|
395 |
375 |
$3K |
| 90677 |
|
363 |
357 |
$3K |
| 90670 |
|
845 |
804 |
$3K |
| 99383 |
|
32 |
29 |
$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) |
469 |
412 |
$3K |
| 87807 |
|
278 |
261 |
$2K |
| 96161 |
|
250 |
188 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 83655 |
|
225 |
207 |
$1K |
| 90686 |
|
1,454 |
1,410 |
$1K |
| 0072A |
|
33 |
30 |
$1K |
| 90698 |
|
623 |
599 |
$886.61 |
| 90707 |
|
367 |
348 |
$795.21 |
| 85018 |
|
650 |
624 |
$639.08 |
| 99050 |
|
110 |
108 |
$636.75 |
| 96160 |
|
1,024 |
939 |
$528.89 |
| 90633 |
|
617 |
591 |
$520.86 |
| 0071A |
|
14 |
14 |
$502.33 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
114 |
$496.58 |
| 96127 |
|
398 |
371 |
$488.92 |
| 0001A |
|
15 |
15 |
$479.94 |
| 0002A |
|
17 |
17 |
$440.75 |
| 90697 |
|
509 |
487 |
$439.51 |
| 91300 |
|
17 |
16 |
$200.00 |
| 92551 |
|
1,863 |
1,627 |
$158.92 |
| 81002 |
|
82 |
69 |
$144.04 |
| 96380 |
|
18 |
13 |
$79.81 |
| 87070 |
|
65 |
60 |
$55.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$54.92 |
| 91307 |
|
58 |
47 |
$0.10 |
| 90680 |
|
746 |
715 |
$0.00 |
| 90744 |
|
119 |
112 |
$0.00 |
| 99174 |
|
503 |
470 |
$0.00 |
| 90651 |
|
54 |
53 |
$0.00 |
| 36416 |
|
414 |
347 |
$0.00 |
| 90696 |
|
44 |
41 |
$0.00 |
| 90674 |
|
19 |
17 |
$0.00 |
| 99177 |
|
1,431 |
1,241 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99173 |
|
23 |
16 |
$0.00 |