| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,083 |
4,649 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,979 |
1,797 |
$215K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
309 |
302 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,041 |
1,018 |
$18K |
| 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) |
777 |
727 |
$9K |
| 99215 |
Prolong outpt/office vis |
51 |
42 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
451 |
415 |
$5K |
| 99050 |
|
144 |
141 |
$4K |
| 92587 |
|
60 |
59 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
120 |
118 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
43 |
$3K |
| 96127 |
|
272 |
161 |
$964.94 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$938.76 |
| 90461 |
|
15 |
15 |
$323.28 |
| 99173 |
|
146 |
146 |
$305.69 |
| 90686 |
|
374 |
354 |
$192.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$156.00 |
| 90656 |
|
74 |
73 |
$37.17 |
| 99177 |
|
12 |
12 |
$25.08 |