| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
738 |
573 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
485 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
152 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,004 |
353 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
118 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
285 |
250 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
347 |
155 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
257 |
231 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
134 |
$2K |
| 87070 |
|
217 |
196 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
158 |
128 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
212 |
203 |
$1K |
| 97802 |
|
494 |
432 |
$300.00 |
| 92551 |
|
110 |
93 |
$208.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
269 |
$181.56 |
| 96160 |
|
395 |
339 |
$86.91 |
| 94760 |
|
337 |
247 |
$31.80 |
| 90461 |
|
220 |
186 |
$17.24 |
| 90671 |
|
110 |
103 |
$0.01 |
| 90686 |
|
66 |
62 |
$0.00 |
| 36416 |
|
165 |
129 |
$0.00 |
| 90723 |
|
45 |
41 |
$0.00 |
| 90656 |
|
21 |
17 |
$0.00 |
| 90648 |
|
110 |
103 |
$0.00 |
| 99173 |
|
170 |
144 |
$0.00 |
| 90681 |
|
16 |
12 |
$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) |
86 |
77 |
$0.00 |