| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,646 |
29,604 |
$2.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,361 |
10,853 |
$1.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,378 |
7,305 |
$709K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,298 |
6,249 |
$642K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,683 |
5,341 |
$513K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,648 |
15,999 |
$450K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,099 |
3,085 |
$345K |
| 99000 |
|
11,424 |
10,973 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,010 |
2,472 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,077 |
5,856 |
$77K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,279 |
1,262 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,325 |
3,255 |
$54K |
| 87428 |
|
514 |
500 |
$42K |
| 90461 |
|
8,035 |
6,690 |
$42K |
| 99215 |
Prolong outpt/office vis |
188 |
186 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,845 |
1,826 |
$24K |
| 99381 |
|
118 |
118 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
351 |
343 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
122 |
114 |
$3K |
| 0081A |
|
47 |
37 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
454 |
114 |
$2K |
| 99051 |
|
162 |
161 |
$2K |
| 83655 |
|
112 |
107 |
$1K |
| 0074A |
|
27 |
26 |
$1K |
| 90651 |
|
1,072 |
1,068 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
495 |
479 |
$1K |
| 90677 |
|
1,082 |
1,048 |
$914.16 |
| 96381 |
|
43 |
37 |
$655.82 |
| 90686 |
|
6,064 |
5,959 |
$654.93 |
| 90621 |
|
133 |
131 |
$643.40 |
| 0054A |
|
12 |
12 |
$576.00 |
| 87807 |
|
40 |
38 |
$510.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$383.23 |
| 94760 |
|
1,917 |
1,839 |
$302.01 |
| 96380 |
|
15 |
15 |
$266.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$187.50 |
| 90734 |
|
167 |
167 |
$173.38 |
| A4620 |
Variable concentration mask |
482 |
467 |
$45.02 |
| 90688 |
|
13 |
13 |
$43.34 |
| 94761 |
|
182 |
180 |
$20.40 |
| 90633 |
|
1,710 |
1,692 |
$0.01 |
| 90656 |
|
861 |
860 |
$0.00 |
| 90680 |
|
1,709 |
1,631 |
$0.00 |
| 90696 |
|
83 |
82 |
$0.00 |
| 90698 |
|
805 |
801 |
$0.00 |
| 90697 |
|
367 |
349 |
$0.00 |
| 91307 |
|
174 |
167 |
$0.00 |
| 90619 |
|
220 |
217 |
$0.00 |
| 90381 |
|
19 |
19 |
$0.00 |
| 90744 |
|
248 |
246 |
$0.00 |
| 92551 |
|
19 |
19 |
$0.00 |
| 96127 |
|
70 |
70 |
$0.00 |
| 90716 |
|
96 |
96 |
$0.00 |
| 36416 |
|
33 |
26 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 90670 |
|
3,071 |
2,970 |
$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) |
455 |
430 |
$0.00 |
| 90710 |
|
161 |
159 |
$0.00 |
| 91308 |
|
68 |
62 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90707 |
|
81 |
81 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |