| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,254 |
1,066 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
791 |
693 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,885 |
890 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
204 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
202 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
140 |
$8K |
| 99382 |
|
93 |
71 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
783 |
614 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
156 |
147 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
38 |
$3K |
| 99383 |
|
47 |
34 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
113 |
$3K |
| 99384 |
|
38 |
30 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
181 |
171 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
109 |
$1K |
| 96380 |
|
47 |
45 |
$897.23 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
18 |
17 |
$425.00 |
| 90480 |
|
24 |
23 |
$420.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$343.75 |
| 96160 |
|
723 |
680 |
$333.00 |
| 92551 |
|
500 |
494 |
$101.26 |
| 90656 |
|
320 |
315 |
$69.88 |
| 90461 |
|
391 |
327 |
$0.20 |
| 90648 |
|
162 |
161 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 99173 |
|
481 |
478 |
$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) |
1,200 |
997 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90671 |
|
135 |
134 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 90633 |
|
28 |
25 |
$0.00 |
| 90723 |
|
87 |
86 |
$0.00 |
| 96127 |
|
16 |
13 |
$0.00 |
| 99174 |
|
124 |
124 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90686 |
|
233 |
231 |
$0.00 |
| 90680 |
|
85 |
84 |
$0.00 |
| 91318 |
|
14 |
13 |
$0.00 |
| 90381 |
|
22 |
20 |
$0.00 |