| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,247 |
12,797 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,337 |
8,450 |
$1.11M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,340 |
1,994 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,037 |
1,684 |
$180K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,315 |
1,919 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,442 |
8,991 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
832 |
731 |
$71K |
| 90686 |
|
1,361 |
1,157 |
$29K |
| 90688 |
|
1,662 |
1,247 |
$29K |
| 90461 |
|
3,673 |
3,231 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,244 |
927 |
$23K |
| 90698 |
|
973 |
846 |
$20K |
| 90670 |
|
842 |
768 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,599 |
1,253 |
$16K |
| 90677 |
|
276 |
213 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
138 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,480 |
1,298 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
428 |
$6K |
| 90680 |
|
307 |
263 |
$6K |
| 92551 |
|
778 |
672 |
$6K |
| 99051 |
|
710 |
532 |
$5K |
| 90633 |
|
264 |
196 |
$5K |
| 99173 |
|
1,777 |
1,540 |
$4K |
| 90658 |
|
142 |
139 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
111 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
219 |
$2K |
| 96160 |
|
1,462 |
702 |
$2K |
| 83655 |
|
270 |
198 |
$2K |
| 90744 |
|
98 |
80 |
$2K |
| 90480 |
|
51 |
40 |
$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) |
119 |
107 |
$2K |
| 87807 |
|
192 |
142 |
$2K |
| 90697 |
|
49 |
45 |
$2K |
| 90656 |
|
58 |
55 |
$1K |
| 90647 |
|
30 |
25 |
$605.28 |
| 90651 |
|
45 |
32 |
$465.60 |
| 90674 |
|
27 |
14 |
$325.92 |
| 96127 |
|
70 |
59 |
$311.85 |
| 90723 |
|
12 |
12 |
$279.36 |
| 85018 |
|
224 |
164 |
$233.70 |
| 94760 |
|
101 |
92 |
$123.26 |
| 90619 |
|
21 |
15 |
$69.84 |
| 36416 |
|
844 |
667 |
$47.01 |
| 81002 |
|
14 |
12 |
$24.93 |
| 99000 |
|
2,282 |
2,009 |
$18.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
61 |
$0.00 |
| 99072 |
|
8,296 |
7,324 |
$0.00 |