| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,516 |
15,207 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,511 |
7,250 |
$684K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
518 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
326 |
326 |
$30K |
| 90686 |
|
2,283 |
2,271 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
418 |
408 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$6K |
| 90688 |
|
491 |
491 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
41 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
39 |
$3K |
| 0072A |
|
28 |
28 |
$1K |
| 90480 |
|
29 |
25 |
$915.60 |
| 0071A |
|
21 |
21 |
$810.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$599.60 |
| 90656 |
|
131 |
130 |
$393.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$346.84 |
| D9999 |
Unspecified adjunctive procedure, by report |
12 |
12 |
$275.80 |
| 90707 |
|
15 |
15 |
$244.05 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$235.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$196.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$145.75 |
| 90685 |
|
14 |
13 |
$83.44 |
| 90651 |
|
13 |
12 |
$34.06 |
| 96160 |
|
14 |
14 |
$33.88 |
| 96161 |
|
13 |
12 |
$15.60 |
| 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) |
1,056 |
1,034 |
$2.41 |
| 99072 |
|
2,659 |
2,526 |
$0.00 |