| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,653 |
4,199 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,276 |
2,112 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
556 |
494 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
371 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,354 |
1,264 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
190 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
777 |
717 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
853 |
751 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
14 |
13 |
$2K |
| 90686 |
|
379 |
356 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
70 |
$740.07 |
| 90474 |
|
58 |
41 |
$726.80 |
| 90671 |
|
118 |
102 |
$474.82 |
| 99177 |
|
80 |
76 |
$294.50 |
| 90698 |
|
52 |
51 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90697 |
|
89 |
68 |
$0.00 |
| 90680 |
|
59 |
42 |
$0.00 |
| 90670 |
|
69 |
68 |
$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) |
16 |
14 |
$0.00 |