| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,073 |
6,401 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,553 |
1,530 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,567 |
1,546 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,514 |
1,457 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
980 |
959 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
769 |
749 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,564 |
3,190 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,984 |
1,442 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,023 |
492 |
$15K |
| 90461 |
|
1,114 |
956 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
517 |
505 |
$8K |
| 0071A |
|
163 |
109 |
$5K |
| 0072A |
|
87 |
84 |
$4K |
| 92551 |
|
2,971 |
2,908 |
$4K |
| 0001A |
|
63 |
62 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
57 |
$3K |
| 0002A |
|
58 |
58 |
$2K |
| 96160 |
|
952 |
925 |
$2K |
| 97169 |
|
47 |
47 |
$1K |
| 83655 |
|
77 |
75 |
$950.53 |
| 0112A |
|
13 |
13 |
$568.00 |
| 85018 |
|
65 |
63 |
$51.29 |
| 90677 |
|
126 |
121 |
$0.26 |
| 90686 |
|
849 |
845 |
$0.10 |
| 90619 |
|
31 |
31 |
$0.08 |
| 90734 |
|
67 |
67 |
$0.04 |
| 90651 |
|
120 |
117 |
$0.01 |
| 90670 |
|
706 |
698 |
$0.00 |
| 90681 |
|
91 |
90 |
$0.00 |
| 90648 |
|
614 |
605 |
$0.00 |
| 99173 |
|
2,534 |
2,505 |
$0.00 |
| 90633 |
|
258 |
256 |
$0.00 |
| 90715 |
|
88 |
87 |
$0.00 |
| 91311 |
|
35 |
32 |
$0.00 |
| 90710 |
|
124 |
120 |
$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) |
32 |
29 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 3725F |
|
19 |
19 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
697 |
690 |
$0.00 |
| 90723 |
|
332 |
327 |
$0.00 |
| 91307 |
|
247 |
199 |
$0.00 |
| 90656 |
|
92 |
92 |
$0.00 |
| 1031F |
|
176 |
176 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |