| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,466 |
4,062 |
$364K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
916 |
911 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
658 |
622 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
158 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
171 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,877 |
1,770 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 92587 |
|
296 |
296 |
$2K |
| 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) |
86 |
81 |
$774.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
52 |
$205.56 |
| 90686 |
|
30 |
29 |
$80.00 |
| 96161 |
|
117 |
108 |
$41.65 |
| 96127 |
|
25 |
25 |
$28.86 |
| 99177 |
|
262 |
262 |
$20.00 |
| 85018 |
|
25 |
25 |
$16.89 |
| 90461 |
|
419 |
412 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90670 |
|
29 |
26 |
$0.00 |
| 90648 |
|
40 |
37 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$0.00 |