| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,831 |
4,376 |
$316K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,243 |
2,179 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
329 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
695 |
675 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
82 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
119 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$4K |
| 87428 |
|
117 |
109 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
68 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$3K |
| 36416 |
|
874 |
844 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$2K |
| 99173 |
|
236 |
233 |
$2K |
| 92587 |
|
38 |
36 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
87 |
$897.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
47 |
$886.23 |
| 94760 |
|
387 |
349 |
$537.89 |
| 99051 |
|
39 |
36 |
$238.00 |
| 90686 |
|
1,347 |
1,315 |
$229.77 |
| 92551 |
|
34 |
34 |
$207.66 |
| 83718 |
|
19 |
19 |
$133.76 |
| 82465 |
|
19 |
19 |
$71.06 |
| 90656 |
|
108 |
106 |
$44.70 |
| 85018 |
|
784 |
759 |
$15.82 |
| 90461 |
|
328 |
325 |
$0.00 |
| 90685 |
|
13 |
13 |
$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) |
30 |
27 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 96127 |
|
20 |
20 |
$0.00 |