| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,605 |
8,089 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,559 |
4,775 |
$299K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,714 |
2,431 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,154 |
2,013 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,223 |
1,944 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,248 |
1,179 |
$91K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,818 |
2,610 |
$42K |
| 90686 |
|
2,332 |
2,170 |
$32K |
| 92551 |
|
4,069 |
3,806 |
$30K |
| 90670 |
|
1,537 |
1,374 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
184 |
168 |
$19K |
| 90698 |
|
1,432 |
1,273 |
$18K |
| 90680 |
|
1,003 |
882 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
453 |
388 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,282 |
1,101 |
$12K |
| 90685 |
|
804 |
723 |
$10K |
| 90633 |
|
634 |
572 |
$9K |
| 99050 |
|
803 |
713 |
$8K |
| 90744 |
|
510 |
446 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
480 |
432 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
509 |
222 |
$5K |
| 99173 |
|
3,490 |
3,256 |
$5K |
| 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) |
365 |
332 |
$4K |
| 99215 |
Prolong outpt/office vis |
100 |
71 |
$4K |
| 90651 |
|
257 |
238 |
$3K |
| 99174 |
|
741 |
683 |
$3K |
| 96161 |
|
1,403 |
1,204 |
$3K |
| 96160 |
|
1,109 |
1,004 |
$3K |
| 90696 |
|
132 |
124 |
$2K |
| 90661 |
|
122 |
122 |
$2K |
| 90734 |
|
165 |
154 |
$2K |
| 0071A |
|
72 |
61 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
140 |
$2K |
| 90677 |
|
120 |
96 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
477 |
435 |
$1K |
| 0072A |
|
50 |
43 |
$1K |
| 90710 |
|
40 |
37 |
$750.38 |
| 90697 |
|
73 |
61 |
$690.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$675.54 |
| 90716 |
|
52 |
39 |
$662.10 |
| 90619 |
|
24 |
24 |
$517.52 |
| 90707 |
|
50 |
37 |
$463.47 |
| 90715 |
|
44 |
43 |
$331.05 |
| 94760 |
|
211 |
192 |
$253.85 |
| 87081 |
|
254 |
232 |
$242.51 |
| 99000 |
|
547 |
461 |
$153.30 |
| 96127 |
|
29 |
28 |
$134.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,920 |
7,205 |
$108.36 |
| 90461 |
|
3,335 |
3,017 |
$23.34 |
| 91307 |
|
148 |
117 |
$0.27 |
| 3008F |
|
79 |
78 |
$0.00 |
| 99072 |
|
742 |
669 |
$0.00 |
| 91300 |
|
19 |
15 |
$0.00 |