| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,488 |
5,290 |
$430K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,855 |
1,817 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
736 |
736 |
$63K |
| 99215 |
Prolong outpt/office vis |
533 |
510 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
646 |
646 |
$55K |
| 99051 |
|
1,688 |
1,663 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
555 |
545 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
345 |
345 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
427 |
424 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,055 |
1,038 |
$15K |
| 87428 |
|
456 |
451 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
631 |
322 |
$8K |
| 90686 |
|
681 |
679 |
$3K |
| 99188 |
|
152 |
152 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
88 |
$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) |
28 |
27 |
$540.40 |
| 92551 |
|
726 |
726 |
$411.36 |
| 96127 |
|
521 |
521 |
$258.94 |
| 96160 |
|
535 |
535 |
$229.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
453 |
453 |
$178.05 |
| 99177 |
|
348 |
348 |
$126.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$120.00 |
| 81002 |
|
13 |
12 |
$47.32 |
| G9920 |
Screening performed and negative |
401 |
400 |
$0.00 |
| 90670 |
|
168 |
168 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 99173 |
|
78 |
78 |
$0.00 |
| 90648 |
|
212 |
212 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90661 |
|
106 |
106 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90680 |
|
114 |
114 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
187 |
185 |
$0.00 |
| 90723 |
|
109 |
108 |
$0.00 |
| 90677 |
|
68 |
68 |
$0.00 |
| 96161 |
|
239 |
239 |
$0.00 |
| 90656 |
|
75 |
75 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |
| 90651 |
|
65 |
65 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |