| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,183 |
1,822 |
$129K |
| 99215 |
Prolong outpt/office vis |
615 |
561 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
787 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
214 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
200 |
$18K |
| 99205 |
Prolong outpt/office vis |
105 |
104 |
$17K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
306 |
292 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
184 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
483 |
457 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$8K |
| D9999 |
Unspecified adjunctive procedure, by report |
393 |
375 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$7K |
| 90686 |
|
383 |
374 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
270 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
617 |
607 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
62 |
$2K |
| 99383 |
|
20 |
20 |
$2K |
| 90670 |
|
141 |
133 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$951.70 |
| 99381 |
|
14 |
14 |
$914.30 |
| 96127 |
|
290 |
275 |
$906.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
45 |
$612.52 |
| 90633 |
|
51 |
43 |
$577.95 |
| 90685 |
|
32 |
32 |
$481.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$229.53 |
| 90723 |
|
12 |
12 |
$178.97 |
| 90680 |
|
12 |
12 |
$178.97 |
| 81002 |
|
52 |
51 |
$129.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
211 |
$106.20 |
| 90658 |
|
13 |
13 |
$84.24 |
| 90715 |
|
13 |
13 |
$77.48 |
| 90734 |
|
13 |
13 |
$77.48 |
| 90647 |
|
12 |
12 |
$71.52 |
| 90651 |
|
14 |
14 |
$71.52 |
| 99173 |
|
42 |
42 |
$29.12 |
| 99499 |
|
19 |
18 |
$0.00 |
| 99429 |
|
17 |
16 |
$0.00 |