| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,913 |
8,124 |
$544K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,749 |
1,718 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,051 |
977 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
879 |
864 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,759 |
1,617 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,274 |
3,225 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
272 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,231 |
1,500 |
$23K |
| 87428 |
|
322 |
314 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,114 |
1,505 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
169 |
169 |
$19K |
| 99000 |
|
1,674 |
1,582 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
115 |
97 |
$5K |
| 90461 |
|
618 |
473 |
$3K |
| 90480 |
|
76 |
73 |
$3K |
| 99383 |
|
13 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$567.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$465.37 |
| 90474 |
|
39 |
38 |
$378.41 |
| 90686 |
|
2,120 |
2,096 |
$220.79 |
| 96381 |
|
12 |
12 |
$212.61 |
| 90680 |
|
198 |
196 |
$0.00 |
| 90698 |
|
344 |
344 |
$0.00 |
| 90677 |
|
284 |
270 |
$0.00 |
| 90651 |
|
103 |
103 |
$0.00 |
| 90656 |
|
402 |
398 |
$0.00 |
| 90697 |
|
96 |
95 |
$0.00 |
| 91307 |
|
23 |
21 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 91318 |
|
13 |
12 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90670 |
|
550 |
540 |
$0.00 |
| 90633 |
|
374 |
366 |
$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) |
75 |
68 |
$0.00 |