| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,055 |
7,089 |
$676K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,798 |
8,931 |
$628K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,194 |
1,100 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,398 |
1,886 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
944 |
892 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,203 |
2,051 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
622 |
584 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
656 |
602 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
401 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,059 |
1,922 |
$27K |
| 99215 |
Prolong outpt/office vis |
207 |
193 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,328 |
2,156 |
$19K |
| 99401 |
|
594 |
423 |
$8K |
| 92551 |
|
665 |
608 |
$6K |
| 90700 |
|
1,202 |
1,124 |
$4K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
306 |
284 |
$3K |
| 90648 |
|
694 |
660 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
241 |
236 |
$3K |
| 97803 |
|
112 |
81 |
$2K |
| 90670 |
|
347 |
327 |
$1K |
| 90715 |
|
182 |
163 |
$1K |
| 90734 |
|
185 |
171 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
16 |
$800.01 |
| 90713 |
|
108 |
103 |
$565.50 |
| 90633 |
|
135 |
126 |
$529.89 |
| 90707 |
|
172 |
164 |
$519.73 |
| 90649 |
|
78 |
73 |
$420.53 |
| 90656 |
|
127 |
116 |
$376.48 |
| 97802 |
|
24 |
12 |
$76.20 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
634 |
581 |
$0.00 |
| 90688 |
|
36 |
33 |
$0.00 |