| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,411 |
2,171 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
943 |
905 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
869 |
848 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,204 |
2,021 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
651 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
141 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
208 |
202 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
831 |
638 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
240 |
234 |
$6K |
| 90461 |
|
1,054 |
973 |
$4K |
| 92552 |
|
439 |
437 |
$4K |
| 99381 |
|
44 |
42 |
$3K |
| 99429 |
|
74 |
68 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 87807 |
|
70 |
67 |
$713.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$358.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$333.02 |
| 97802 |
|
269 |
266 |
$317.79 |
| 90677 |
|
135 |
133 |
$272.66 |
| 90686 |
|
450 |
441 |
$17.53 |
| 90670 |
|
685 |
667 |
$0.02 |
| 90648 |
|
112 |
105 |
$0.01 |
| 99188 |
|
178 |
174 |
$0.00 |
| 90633 |
|
287 |
273 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
211 |
208 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
208 |
193 |
$0.00 |
| 99173 |
|
394 |
393 |
$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) |
29 |
27 |
$0.00 |
| 1159F |
|
512 |
462 |
$0.00 |
| 3078F |
|
36 |
35 |
$0.00 |
| 90707 |
|
31 |
27 |
$0.00 |
| 90700 |
|
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) |
73 |
68 |
$0.00 |
| 90698 |
|
393 |
387 |
$0.00 |
| 90744 |
|
208 |
203 |
$0.00 |
| 90680 |
|
545 |
531 |
$0.00 |
| 3008F |
|
510 |
456 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 96127 |
|
84 |
79 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |
| 90716 |
|
29 |
25 |
$0.00 |
| 3074F |
|
38 |
37 |
$0.00 |
| 36416 |
|
16 |
12 |
$0.00 |