| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
2,053 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
940 |
908 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
991 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
668 |
618 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,824 |
1,986 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
139 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
244 |
218 |
$11K |
| 92551 |
|
783 |
756 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
811 |
613 |
$6K |
| 90461 |
|
1,172 |
1,013 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
44 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
506 |
431 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$1K |
| 0071A |
|
24 |
24 |
$960.00 |
| 0072A |
|
13 |
13 |
$481.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
24 |
$251.28 |
| 96380 |
|
13 |
13 |
$248.17 |
| 96160 |
|
58 |
57 |
$122.33 |
| 99177 |
|
1,083 |
1,043 |
$7.70 |
| 91307 |
|
53 |
52 |
$0.47 |
| 90677 |
|
45 |
45 |
$0.35 |
| 90670 |
|
453 |
432 |
$0.00 |
| 90633 |
|
92 |
85 |
$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) |
353 |
312 |
$0.00 |
| 99173 |
|
44 |
43 |
$0.00 |
| 90707 |
|
62 |
57 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 90698 |
|
320 |
318 |
$0.00 |
| 90680 |
|
109 |
109 |
$0.00 |
| 36416 |
|
68 |
62 |
$0.00 |
| 90686 |
|
589 |
580 |
$0.00 |
| 90744 |
|
56 |
52 |
$0.00 |
| 90716 |
|
57 |
53 |
$0.00 |
| 96127 |
|
13 |
12 |
$0.00 |
| 90656 |
|
86 |
82 |
$0.00 |