| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,526 |
10,694 |
$742K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,353 |
3,336 |
$325K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,145 |
2,981 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,079 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,990 |
7,921 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,026 |
1,022 |
$105K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,093 |
4,275 |
$67K |
| 87428 |
|
1,029 |
1,001 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,589 |
2,531 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,665 |
2,631 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
165 |
$19K |
| 99381 |
|
134 |
130 |
$14K |
| 99000 |
|
1,086 |
1,017 |
$12K |
| 90474 |
|
1,001 |
994 |
$11K |
| 99383 |
|
25 |
25 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
197 |
124 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
79 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
49 |
49 |
$3K |
| 99384 |
|
12 |
12 |
$2K |
| 96381 |
|
70 |
68 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$617.65 |
| 90677 |
|
795 |
791 |
$304.72 |
| 90686 |
|
2,439 |
2,428 |
$196.22 |
| 90680 |
|
1,068 |
1,061 |
$0.00 |
| 90656 |
|
524 |
522 |
$0.00 |
| 90744 |
|
135 |
134 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
133 |
119 |
$0.00 |
| 90698 |
|
708 |
705 |
$0.00 |
| 90697 |
|
804 |
798 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |
| 36416 |
|
134 |
119 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90381 |
|
20 |
20 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,272 |
1,266 |
$0.00 |
| 90633 |
|
480 |
479 |
$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) |
145 |
139 |
$0.00 |
| 90710 |
|
104 |
103 |
$0.00 |
| 90380 |
|
16 |
16 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |