| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,413 |
1,189 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
740 |
678 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,377 |
1,230 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
292 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,507 |
1,258 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
68 |
$8K |
| 90686 |
|
479 |
399 |
$4K |
| 90461 |
|
599 |
478 |
$2K |
| 90670 |
|
222 |
164 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,736 |
1,227 |
$773.80 |
| 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) |
72 |
65 |
$755.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
80 |
$480.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
103 |
$384.21 |
| 99188 |
|
270 |
251 |
$320.73 |
| 85018 |
|
610 |
544 |
$104.07 |
| 96127 |
|
696 |
535 |
$69.00 |
| 94760 |
|
392 |
307 |
$43.15 |
| 90698 |
|
76 |
50 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
39 |
38 |
$0.00 |
| 90680 |
|
58 |
37 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
13 |
$0.00 |
| 99177 |
|
27 |
25 |
$0.00 |
| 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) |
16 |
12 |
$0.00 |
| 97803 |
|
40 |
38 |
$0.00 |