| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,807 |
8,009 |
$701K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,326 |
5,644 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,277 |
1,217 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
821 |
800 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
641 |
605 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,271 |
1,198 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,919 |
1,349 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
237 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,426 |
1,291 |
$17K |
| 90688 |
|
995 |
926 |
$11K |
| 99000 |
|
4,676 |
4,312 |
$10K |
| 90670 |
|
443 |
433 |
$10K |
| 90700 |
|
813 |
785 |
$9K |
| 99493 |
|
71 |
66 |
$8K |
| 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) |
1,020 |
912 |
$8K |
| 96127 |
|
1,369 |
1,187 |
$6K |
| 90648 |
|
402 |
394 |
$4K |
| 90686 |
|
374 |
359 |
$4K |
| 99173 |
|
1,994 |
1,903 |
$4K |
| 90713 |
|
360 |
351 |
$4K |
| 92551 |
|
395 |
372 |
$3K |
| 99177 |
|
683 |
658 |
$3K |
| 3008F |
|
1,239 |
1,203 |
$2K |
| 90658 |
|
170 |
166 |
$2K |
| 90685 |
|
154 |
147 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 0072A |
|
31 |
31 |
$1K |
| 0071A |
|
31 |
29 |
$1K |
| 90716 |
|
26 |
26 |
$986.42 |
| 90680 |
|
53 |
52 |
$947.71 |
| 90651 |
|
27 |
26 |
$732.21 |
| 90687 |
|
60 |
60 |
$711.27 |
| 85013 |
|
259 |
252 |
$647.94 |
| 0001A |
|
14 |
14 |
$576.00 |
| 87807 |
|
43 |
40 |
$497.47 |
| 90707 |
|
14 |
14 |
$419.23 |
| 90633 |
|
24 |
24 |
$289.79 |
| 36416 |
|
461 |
444 |
$217.58 |
| 90480 |
|
25 |
15 |
$211.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$196.05 |
| 90744 |
|
16 |
15 |
$181.02 |
| 81002 |
|
29 |
28 |
$86.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$76.35 |
| 99051 |
|
13 |
12 |
$13.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$6.80 |
| 91300 |
|
113 |
108 |
$1.08 |
| 91307 |
|
96 |
88 |
$0.71 |
| 3210F |
|
15 |
15 |
$0.00 |