| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,596 |
33,824 |
$2.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,104 |
6,835 |
$779K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,440 |
4,410 |
$527K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,593 |
3,566 |
$435K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,670 |
17,411 |
$382K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,283 |
2,254 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,488 |
1,482 |
$200K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
969 |
947 |
$140K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,188 |
3,178 |
$91K |
| 92551 |
|
2,914 |
2,889 |
$36K |
| 90686 |
|
4,088 |
4,018 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,339 |
1,316 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
431 |
420 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,444 |
1,423 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
335 |
$15K |
| 3008F |
|
11,492 |
11,335 |
$15K |
| 90461 |
|
525 |
517 |
$9K |
| 90651 |
|
118 |
116 |
$8K |
| 90670 |
|
603 |
583 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
286 |
$6K |
| 90698 |
|
722 |
701 |
$4K |
| 90734 |
|
88 |
87 |
$2K |
| 99173 |
|
2,380 |
2,304 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90656 |
|
642 |
637 |
$2K |
| 90677 |
|
113 |
106 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
81 |
$2K |
| 36416 |
|
339 |
335 |
$1K |
| 90715 |
|
40 |
39 |
$864.85 |
| 90633 |
|
232 |
231 |
$822.62 |
| 90680 |
|
224 |
219 |
$709.84 |
| 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) |
111 |
109 |
$512.45 |
| 90688 |
|
18 |
18 |
$330.46 |
| 99177 |
|
83 |
83 |
$324.84 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$245.20 |
| 90744 |
|
154 |
149 |
$217.75 |
| 99051 |
|
13 |
13 |
$90.73 |
| 99000 |
|
500 |
487 |
$4.35 |
| 96160 |
|
15 |
14 |
$0.00 |
| 90672 |
|
22 |
22 |
$0.00 |
| 1111F |
|
124 |
114 |
$0.00 |