| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,754 |
6,577 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,535 |
2,321 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,550 |
1,535 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,357 |
1,291 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,111 |
1,100 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,340 |
3,624 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
604 |
591 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,229 |
2,625 |
$26K |
| S8301 |
Infection control supplies, not otherwise specified |
2,124 |
1,714 |
$15K |
| 92551 |
|
1,561 |
1,533 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
694 |
660 |
$9K |
| 90671 |
|
249 |
243 |
$8K |
| 90461 |
|
1,852 |
1,728 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
477 |
230 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
141 |
131 |
$5K |
| 90619 |
|
34 |
29 |
$3K |
| 99381 |
|
30 |
30 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
259 |
254 |
$2K |
| 90734 |
|
38 |
38 |
$577.92 |
| 87807 |
|
35 |
34 |
$398.75 |
| 90707 |
|
173 |
173 |
$260.81 |
| 90698 |
|
277 |
276 |
$258.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$175.32 |
| 96160 |
|
79 |
68 |
$129.92 |
| 90686 |
|
1,435 |
1,422 |
$55.75 |
| 90633 |
|
373 |
369 |
$39.15 |
| 90648 |
|
195 |
195 |
$36.54 |
| 90670 |
|
787 |
785 |
$0.05 |
| 90651 |
|
218 |
215 |
$0.04 |
| 90680 |
|
623 |
620 |
$0.03 |
| 90716 |
|
174 |
174 |
$0.03 |
| 90723 |
|
57 |
57 |
$0.00 |
| 96127 |
|
424 |
424 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
14 |
13 |
$0.00 |
| 90697 |
|
247 |
244 |
$0.00 |
| 90744 |
|
56 |
56 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 99173 |
|
2,077 |
2,064 |
$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) |
381 |
344 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |