| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,209 |
18,907 |
$1.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,392 |
9,366 |
$850K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
707 |
675 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
693 |
673 |
$55K |
| 87428 |
|
1,235 |
1,161 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,288 |
3,999 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
97 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,871 |
1,750 |
$9K |
| 90688 |
|
711 |
620 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
152 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,913 |
1,495 |
$5K |
| 99495 |
|
26 |
26 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
199 |
195 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
559 |
522 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$2K |
| 81003 |
|
2,001 |
1,807 |
$2K |
| 90658 |
|
80 |
78 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
39 |
$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) |
204 |
194 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90686 |
|
238 |
232 |
$1K |
| 99490 |
Ccm add 20min |
174 |
163 |
$612.99 |
| 90682 |
|
68 |
68 |
$566.70 |
| 99406 |
|
102 |
86 |
$397.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
98 |
$324.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
253 |
$215.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$196.24 |
| 90673 |
|
13 |
13 |
$139.35 |
| G0008 |
Administration of influenza virus vaccine |
272 |
237 |
$86.65 |
| 99497 |
|
54 |
51 |
$42.00 |
| 90685 |
|
12 |
12 |
$23.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
27 |
$10.31 |
| 80305 |
|
20 |
19 |
$5.29 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
86 |
81 |
$0.01 |
| 90656 |
|
56 |
56 |
$0.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
128 |
$0.00 |
| 99051 |
|
1,577 |
1,384 |
$0.00 |
| 90662 |
|
59 |
58 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |