| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,994 |
4,166 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,532 |
2,285 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,225 |
1,129 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
920 |
877 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,961 |
2,225 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
417 |
387 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
436 |
387 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,439 |
1,297 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
363 |
306 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,961 |
1,710 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
931 |
449 |
$9K |
| 92587 |
|
1,065 |
972 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
114 |
$7K |
| 99383 |
|
94 |
80 |
$5K |
| 99381 |
|
71 |
60 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
84 |
$2K |
| 99384 |
|
34 |
21 |
$2K |
| 90671 |
|
629 |
584 |
$2K |
| 87428 |
|
50 |
49 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
107 |
$1K |
| 90461 |
|
1,285 |
1,066 |
$1K |
| 87807 |
|
129 |
114 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
115 |
109 |
$996.00 |
| 90680 |
|
720 |
654 |
$780.57 |
| 92558 |
|
87 |
70 |
$385.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
26 |
$316.08 |
| 85018 |
|
82 |
81 |
$56.34 |
| 90686 |
|
521 |
494 |
$50.18 |
| 96160 |
|
143 |
132 |
$32.61 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
28 |
25 |
$2.86 |
| 90697 |
|
667 |
613 |
$0.32 |
| 90619 |
|
39 |
39 |
$0.21 |
| 90677 |
|
150 |
149 |
$0.08 |
| 90633 |
|
339 |
317 |
$0.05 |
| 90707 |
|
43 |
42 |
$0.02 |
| 90716 |
|
30 |
30 |
$0.02 |
| 99173 |
|
1,365 |
1,167 |
$0.00 |
| 90670 |
|
283 |
241 |
$0.00 |
| 90715 |
|
12 |
12 |
$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) |
15 |
14 |
$0.00 |
| 90744 |
|
28 |
26 |
$0.00 |
| 96127 |
|
18 |
12 |
$0.00 |
| 36416 |
|
48 |
47 |
$0.00 |
| 90656 |
|
105 |
92 |
$0.00 |
| 90698 |
|
208 |
187 |
$0.00 |
| 90651 |
|
44 |
44 |
$0.00 |