| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,186 |
24,793 |
$1.66M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,832 |
7,783 |
$789K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,728 |
7,643 |
$731K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,052 |
4,999 |
$553K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,965 |
5,768 |
$547K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,499 |
5,262 |
$507K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,755 |
17,930 |
$503K |
| 99000 |
|
9,345 |
9,065 |
$105K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,990 |
7,134 |
$96K |
| 87428 |
|
1,347 |
1,303 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,245 |
1,220 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,395 |
3,316 |
$54K |
| 90461 |
|
8,786 |
7,165 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,395 |
1,194 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,464 |
1,456 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
338 |
$16K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
2,856 |
2,780 |
$13K |
| 99381 |
|
92 |
92 |
$9K |
| 0124A |
|
140 |
137 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,116 |
484 |
$6K |
| 0071A |
|
91 |
87 |
$4K |
| 99051 |
|
405 |
399 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$3K |
| 0081A |
|
83 |
63 |
$3K |
| 0072A |
|
51 |
51 |
$2K |
| 90621 |
|
611 |
603 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
181 |
172 |
$2K |
| 81002 |
|
521 |
513 |
$2K |
| 0154A |
|
38 |
38 |
$2K |
| 90480 |
|
57 |
54 |
$2K |
| 90677 |
|
1,477 |
1,443 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 0054A |
|
27 |
27 |
$1K |
| 90651 |
|
3,111 |
3,091 |
$1K |
| 0074A |
|
26 |
21 |
$1K |
| 90686 |
|
6,371 |
6,298 |
$785.90 |
| 0051A |
|
12 |
12 |
$576.00 |
| 96381 |
|
32 |
32 |
$539.56 |
| 81025 |
|
50 |
42 |
$364.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
25 |
$359.06 |
| 90734 |
|
494 |
493 |
$341.73 |
| 90715 |
|
404 |
404 |
$37.80 |
| 90744 |
|
80 |
80 |
$30.41 |
| 94760 |
|
16 |
16 |
$1.96 |
| 90619 |
|
1,037 |
1,017 |
$0.14 |
| 90633 |
|
2,599 |
2,551 |
$0.00 |
| 90670 |
|
3,301 |
3,187 |
$0.00 |
| 90710 |
|
337 |
332 |
$0.00 |
| 90648 |
|
836 |
834 |
$0.00 |
| 90700 |
|
121 |
120 |
$0.00 |
| 94664 |
|
151 |
149 |
$0.00 |
| 91312 |
|
142 |
139 |
$0.00 |
| 90707 |
|
289 |
288 |
$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) |
485 |
469 |
$0.00 |
| 91308 |
|
188 |
170 |
$0.00 |
| 90697 |
|
1,911 |
1,825 |
$0.00 |
| 90716 |
|
288 |
287 |
$0.00 |
| 96127 |
|
99 |
99 |
$0.00 |
| 91305 |
|
174 |
169 |
$0.00 |
| 90680 |
|
2,400 |
2,303 |
$0.00 |
| 91315 |
|
38 |
38 |
$0.00 |
| 90696 |
|
329 |
326 |
$0.00 |
| 91307 |
|
399 |
383 |
$0.00 |
| 90698 |
|
355 |
349 |
$0.00 |
| 90656 |
|
1,020 |
1,020 |
$0.00 |
| 90723 |
|
322 |
322 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
26 |
24 |
$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) |
26 |
25 |
$0.00 |
| 36416 |
|
28 |
26 |
$0.00 |