| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,412 |
9,213 |
$546K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,578 |
2,181 |
$177K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,426 |
2,713 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,698 |
1,427 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,258 |
1,082 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,099 |
858 |
$76K |
| 87428 |
|
1,090 |
905 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
655 |
490 |
$47K |
| 92551 |
|
2,553 |
1,966 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,533 |
1,326 |
$15K |
| 99177 |
|
2,939 |
2,295 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
711 |
491 |
$12K |
| 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) |
1,216 |
911 |
$12K |
| 99401 |
|
704 |
413 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
386 |
344 |
$7K |
| 99050 |
|
545 |
470 |
$7K |
| 3074F |
|
3,857 |
3,012 |
$7K |
| 3078F |
|
3,549 |
2,777 |
$6K |
| 99441 |
|
245 |
180 |
$6K |
| 90686 |
|
1,342 |
1,198 |
$5K |
| 90670 |
|
1,033 |
874 |
$5K |
| 87807 |
|
437 |
380 |
$4K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
361 |
256 |
$4K |
| 3008F |
|
3,513 |
2,721 |
$4K |
| 96127 |
|
849 |
628 |
$4K |
| 96160 |
|
111 |
97 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
127 |
$2K |
| 90647 |
|
649 |
524 |
$2K |
| 90723 |
|
565 |
485 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
680 |
579 |
$2K |
| 86769 |
|
1,161 |
1,054 |
$2K |
| 90680 |
|
229 |
202 |
$1K |
| 90716 |
|
261 |
209 |
$1K |
| 90633 |
|
339 |
279 |
$1K |
| 96161 |
|
262 |
223 |
$1K |
| 90651 |
|
280 |
229 |
$871.60 |
| 90734 |
|
304 |
227 |
$828.41 |
| 90707 |
|
243 |
198 |
$818.87 |
| 94760 |
|
1,245 |
1,078 |
$776.61 |
| 99072 |
|
1,441 |
1,247 |
$716.30 |
| 99460 |
|
14 |
13 |
$670.26 |
| 90685 |
|
107 |
104 |
$545.65 |
| 90715 |
|
179 |
133 |
$485.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$423.64 |
| 90696 |
|
114 |
83 |
$404.04 |
| 99462 |
|
21 |
14 |
$320.08 |
| 90671 |
|
37 |
36 |
$308.00 |
| 99173 |
|
44 |
41 |
$201.99 |
| 83655 |
|
19 |
17 |
$160.66 |
| 90710 |
|
20 |
16 |
$136.95 |
| 90677 |
|
19 |
12 |
$75.00 |
| 85018 |
|
32 |
29 |
$66.07 |
| 81002 |
|
13 |
12 |
$44.46 |
| 99000 |
|
126 |
115 |
$34.20 |
| 91307 |
|
15 |
14 |
$0.00 |