| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,050 |
9,518 |
$576K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,940 |
1,932 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,734 |
1,625 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,798 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,171 |
1,164 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,706 |
2,180 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
352 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,683 |
2,659 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,460 |
1,910 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,897 |
1,385 |
$18K |
| 87428 |
|
151 |
146 |
$8K |
| 90461 |
|
831 |
671 |
$5K |
| 99000 |
|
337 |
328 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
147 |
$2K |
| 90474 |
|
133 |
133 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
24 |
$777.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$651.36 |
| 96381 |
|
16 |
16 |
$240.87 |
| 96380 |
|
15 |
15 |
$238.00 |
| 90686 |
|
1,322 |
1,314 |
$154.36 |
| 90677 |
|
385 |
381 |
$0.00 |
| 90656 |
|
277 |
276 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90680 |
|
553 |
538 |
$0.00 |
| 90697 |
|
502 |
492 |
$0.00 |
| 90651 |
|
99 |
99 |
$0.00 |
| 90744 |
|
63 |
63 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90698 |
|
107 |
107 |
$0.00 |
| 90670 |
|
769 |
741 |
$0.00 |
| 90633 |
|
193 |
193 |
$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) |
96 |
93 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |