| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,574 |
5,243 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,674 |
7,138 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
727 |
719 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
519 |
511 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
221 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
126 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
210 |
208 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$4K |
| 90686 |
|
575 |
571 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
207 |
$3K |
| 0002A |
|
80 |
65 |
$2K |
| 0001A |
|
42 |
41 |
$2K |
| 80305 |
|
116 |
114 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
115 |
115 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90670 |
|
105 |
105 |
$607.50 |
| 0071A |
|
71 |
71 |
$600.00 |
| 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) |
339 |
318 |
$569.52 |
| 90698 |
|
133 |
131 |
$490.50 |
| 99177 |
|
61 |
60 |
$261.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$160.00 |
| 99173 |
|
170 |
166 |
$146.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
49 |
$133.06 |
| 96127 |
|
13 |
13 |
$53.46 |
| 96160 |
|
67 |
64 |
$20.90 |
| 90619 |
|
27 |
27 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 92551 |
|
134 |
131 |
$0.00 |
| 90656 |
|
105 |
104 |
$0.00 |
| 0072A |
|
49 |
49 |
$0.00 |
| 3008F |
|
28 |
26 |
$0.00 |
| 90677 |
|
45 |
38 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |