| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,340 |
17,089 |
$1.19M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,663 |
5,620 |
$545K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,529 |
3,378 |
$325K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,609 |
2,593 |
$269K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,975 |
1,897 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,929 |
4,066 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
897 |
885 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,974 |
6,899 |
$90K |
| 87428 |
|
1,463 |
1,432 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,860 |
4,847 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,186 |
4,753 |
$63K |
| 99000 |
|
2,871 |
2,794 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,677 |
1,623 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
175 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
487 |
247 |
$8K |
| 90461 |
|
1,403 |
1,255 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
213 |
$6K |
| 90474 |
|
343 |
339 |
$4K |
| 99383 |
|
28 |
28 |
$3K |
| 90651 |
|
237 |
236 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$735.32 |
| 90677 |
|
600 |
593 |
$609.44 |
| 90686 |
|
2,160 |
2,134 |
$179.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$109.76 |
| 81002 |
|
12 |
12 |
$42.00 |
| 90688 |
|
442 |
434 |
$40.33 |
| 90670 |
|
2,295 |
2,247 |
$0.00 |
| 90633 |
|
1,291 |
1,281 |
$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) |
290 |
267 |
$0.00 |
| 90710 |
|
174 |
172 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90707 |
|
66 |
66 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90656 |
|
436 |
436 |
$0.00 |
| 90680 |
|
1,097 |
1,072 |
$0.00 |
| 90697 |
|
556 |
547 |
$0.00 |
| 90698 |
|
1,262 |
1,245 |
$0.00 |
| 90744 |
|
307 |
305 |
$0.00 |
| 90716 |
|
117 |
116 |
$0.00 |
| 90696 |
|
80 |
80 |
$0.00 |
| 96127 |
|
19 |
19 |
$0.00 |
| 90619 |
|
39 |
39 |
$0.00 |