| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,731 |
4,447 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
762 |
761 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
752 |
749 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
463 |
462 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
359 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
629 |
616 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
330 |
327 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
682 |
661 |
$10K |
| 87428 |
|
291 |
285 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
418 |
205 |
$5K |
| 90686 |
|
415 |
394 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 99051 |
|
42 |
42 |
$1K |
| 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) |
53 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
67 |
$709.75 |
| 90670 |
|
163 |
161 |
$616.00 |
| 92551 |
|
979 |
978 |
$566.66 |
| 90648 |
|
149 |
147 |
$513.04 |
| 90680 |
|
39 |
37 |
$408.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
535 |
533 |
$404.96 |
| 96127 |
|
623 |
622 |
$338.80 |
| 96160 |
|
635 |
634 |
$294.80 |
| 90723 |
|
53 |
51 |
$275.00 |
| 99173 |
|
305 |
305 |
$224.82 |
| 99177 |
|
146 |
146 |
$179.58 |
| 90633 |
|
12 |
12 |
$132.00 |
| G9920 |
Screening performed and negative |
458 |
457 |
$0.00 |
| 90661 |
|
90 |
90 |
$0.00 |
| 96161 |
|
95 |
95 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
225 |
223 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |