| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,692 |
5,401 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,232 |
2,163 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,172 |
1,170 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
886 |
885 |
$78K |
| 99215 |
Prolong outpt/office vis |
660 |
610 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
765 |
756 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
458 |
456 |
$41K |
| 99051 |
|
1,403 |
1,385 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
572 |
569 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,179 |
1,159 |
$17K |
| 87428 |
|
481 |
478 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
912 |
452 |
$11K |
| 99188 |
|
535 |
535 |
$10K |
| 90686 |
|
867 |
867 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
80 |
$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) |
64 |
61 |
$1K |
| 0071A |
|
23 |
23 |
$880.00 |
| 96127 |
|
744 |
743 |
$776.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
881 |
881 |
$729.51 |
| 92551 |
|
948 |
946 |
$712.80 |
| 0072A |
|
14 |
14 |
$484.00 |
| 96160 |
|
693 |
692 |
$428.12 |
| 90648 |
|
368 |
368 |
$410.00 |
| 99177 |
|
555 |
553 |
$355.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$270.00 |
| 90670 |
|
247 |
247 |
$264.00 |
| 90723 |
|
192 |
192 |
$132.00 |
| 99173 |
|
188 |
188 |
$116.19 |
| 80061 |
Lipid panel |
49 |
49 |
$112.24 |
| 85018 |
|
66 |
66 |
$42.99 |
| 90661 |
|
111 |
111 |
$33.00 |
| 90651 |
|
118 |
118 |
$11.00 |
| 90656 |
|
142 |
142 |
$0.00 |
| 96161 |
|
461 |
459 |
$0.00 |
| 90677 |
|
115 |
115 |
$0.00 |
| 90680 |
|
168 |
168 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
336 |
331 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
717 |
716 |
$0.00 |
| 83655 |
|
81 |
81 |
$0.00 |
| 91321 |
|
61 |
60 |
$0.00 |
| 90633 |
|
58 |
58 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |