| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,801 |
9,200 |
$602K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,853 |
4,474 |
$254K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
735 |
724 |
$79K |
| 90834 |
Psychotherapy, 45 minutes with patient |
799 |
519 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
504 |
439 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,652 |
1,718 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
272 |
$29K |
| 90461 |
|
1,138 |
661 |
$24K |
| 87428 |
|
223 |
216 |
$13K |
| 99050 |
|
248 |
236 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
890 |
875 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
646 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
55 |
53 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
216 |
$4K |
| 92587 |
|
57 |
57 |
$3K |
| 99174 |
|
87 |
85 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
91 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 20611 |
|
34 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$877.23 |
| 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) |
66 |
58 |
$804.98 |
| 93000 |
|
190 |
180 |
$730.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$671.64 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$637.42 |
| 0002A |
|
13 |
13 |
$541.19 |
| 96161 |
|
137 |
125 |
$497.77 |
| 90480 |
|
13 |
13 |
$438.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
98 |
$377.87 |
| 87807 |
|
41 |
40 |
$371.39 |
| 96127 |
|
100 |
89 |
$256.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
36 |
$248.84 |
| 92552 |
|
13 |
13 |
$247.89 |
| 99215 |
Prolong outpt/office vis |
55 |
51 |
$167.26 |
| 94760 |
|
50 |
45 |
$134.91 |
| 90686 |
|
160 |
154 |
$77.93 |
| 96160 |
|
26 |
24 |
$70.94 |
| 99000 |
|
12 |
12 |
$59.20 |
| G0008 |
Administration of influenza virus vaccine |
114 |
110 |
$33.86 |
| 85018 |
|
12 |
12 |
$23.82 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
29 |
27 |
$23.14 |
| 90662 |
|
56 |
56 |
$16.93 |
| 90656 |
|
13 |
13 |
$6.50 |
| 99442 |
|
32 |
29 |
$0.00 |