| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,493 |
5,286 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,660 |
2,294 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,383 |
1,260 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,311 |
1,184 |
$85K |
| 87428 |
|
2,222 |
1,420 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,099 |
2,588 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
617 |
556 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
786 |
627 |
$30K |
| 99383 |
|
204 |
191 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
750 |
680 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
92 |
$8K |
| 99381 |
|
95 |
88 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
177 |
119 |
$5K |
| 99384 |
|
45 |
36 |
$4K |
| 83655 |
|
397 |
358 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
347 |
134 |
$3K |
| 90461 |
|
1,716 |
937 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
155 |
$1K |
| 99382 |
|
14 |
12 |
$920.07 |
| 92552 |
|
131 |
106 |
$746.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
20 |
$569.91 |
| 90670 |
|
531 |
478 |
$184.72 |
| 90619 |
|
57 |
46 |
$159.58 |
| 85018 |
|
117 |
115 |
$115.12 |
| 90677 |
|
595 |
534 |
$0.01 |
| 90633 |
|
616 |
556 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
30 |
30 |
$0.00 |
| 99177 |
|
83 |
71 |
$0.00 |
| 1159F |
|
1,851 |
1,440 |
$0.00 |
| 99173 |
|
73 |
68 |
$0.00 |
| 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) |
915 |
761 |
$0.00 |
| 90710 |
|
115 |
102 |
$0.00 |
| 90707 |
|
130 |
119 |
$0.00 |
| 90648 |
|
15 |
14 |
$0.00 |
| 3078F |
|
211 |
187 |
$0.00 |
| 90715 |
|
43 |
35 |
$0.00 |
| 90700 |
|
72 |
70 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
260 |
257 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
93 |
92 |
$0.00 |
| 90696 |
|
74 |
63 |
$0.00 |
| 3008F |
|
1,992 |
1,524 |
$0.00 |
| 90680 |
|
734 |
656 |
$0.00 |
| 90697 |
|
746 |
671 |
$0.00 |
| 36416 |
|
361 |
346 |
$0.00 |
| 90716 |
|
148 |
137 |
$0.00 |
| 90657 |
|
80 |
75 |
$0.00 |
| 90688 |
|
125 |
121 |
$0.00 |
| 90656 |
|
90 |
88 |
$0.00 |
| 3074F |
|
213 |
191 |
$0.00 |
| 99174 |
|
55 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
38 |
$0.00 |
| 90647 |
|
27 |
25 |
$0.00 |
| 1125F |
|
38 |
23 |
$0.00 |
| 96127 |
|
33 |
30 |
$0.00 |