| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,796 |
4,459 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,711 |
2,031 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,588 |
1,281 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,243 |
1,043 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,102 |
2,421 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,216 |
818 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,851 |
1,531 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
385 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
988 |
821 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,890 |
2,247 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,831 |
586 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,137 |
770 |
$9K |
| 96161 |
|
1,623 |
1,182 |
$9K |
| 92551 |
|
1,208 |
1,014 |
$7K |
| 99381 |
|
78 |
71 |
$5K |
| 87428 |
|
111 |
96 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$5K |
| 87807 |
|
393 |
252 |
$3K |
| 99188 |
|
263 |
167 |
$3K |
| 83655 |
|
342 |
247 |
$2K |
| 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) |
962 |
804 |
$2K |
| 0071A |
|
48 |
38 |
$2K |
| 90677 |
|
549 |
378 |
$1K |
| 96380 |
|
142 |
84 |
$1K |
| 99051 |
|
81 |
77 |
$1K |
| 0072A |
|
29 |
22 |
$1K |
| 99173 |
|
1,146 |
869 |
$1K |
| 0002A |
|
19 |
17 |
$830.36 |
| 0001A |
|
26 |
16 |
$768.28 |
| 85018 |
|
435 |
310 |
$693.92 |
| 99177 |
|
1,586 |
1,089 |
$464.72 |
| 96160 |
|
1,012 |
690 |
$355.02 |
| 90473 |
|
28 |
27 |
$210.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
124 |
$164.78 |
| 96127 |
|
203 |
152 |
$132.03 |
| 36416 |
|
545 |
333 |
$65.87 |
| 90686 |
|
691 |
547 |
$19.56 |
| 94760 |
|
24 |
19 |
$8.76 |
| 90633 |
|
392 |
320 |
$0.71 |
| 90381 |
|
31 |
28 |
$0.11 |
| 90671 |
|
41 |
30 |
$0.08 |
| 90380 |
|
14 |
14 |
$0.05 |
| 90660 |
|
88 |
49 |
$0.05 |
| 90651 |
|
14 |
13 |
$0.03 |
| 90680 |
|
1,108 |
779 |
$0.01 |
| 90700 |
|
62 |
50 |
$0.00 |
| 90672 |
|
145 |
113 |
$0.00 |
| 91300 |
|
40 |
33 |
$0.00 |
| 90648 |
|
30 |
26 |
$0.00 |
| 90670 |
|
747 |
579 |
$0.00 |
| 90707 |
|
29 |
25 |
$0.00 |
| 90461 |
|
59 |
37 |
$0.00 |
| 90697 |
|
1,177 |
823 |
$0.00 |
| 90656 |
|
194 |
154 |
$0.00 |
| 99000 |
|
254 |
156 |
$0.00 |
| 91307 |
|
97 |
63 |
$0.00 |
| 90716 |
|
30 |
26 |
$0.00 |