| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,560 |
4,998 |
$501K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,244 |
1,199 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
783 |
777 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
485 |
475 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
370 |
369 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
427 |
423 |
$23K |
| 81003 |
|
1,315 |
1,300 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
216 |
211 |
$8K |
| 92587 |
|
2,137 |
2,108 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,478 |
1,400 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$4K |
| 87428 |
|
240 |
231 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
230 |
215 |
$1K |
| 99188 |
|
301 |
289 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
661 |
601 |
$684.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
104 |
$229.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
372 |
152 |
$203.81 |
| 90681 |
|
66 |
65 |
$120.02 |
| 2001F |
|
44 |
40 |
$116.74 |
| 90461 |
|
93 |
71 |
$108.02 |
| 96127 |
|
69 |
69 |
$100.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
171 |
$41.70 |
| 90670 |
|
276 |
272 |
$36.01 |
| 90658 |
|
56 |
56 |
$24.01 |
| 99173 |
|
277 |
263 |
$0.00 |
| 90633 |
|
29 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
22 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
122 |
116 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| G9149 |
National committee for quality assurance - level 2 medical home |
57 |
52 |
$0.00 |
| 1159F |
|
46 |
43 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
153 |
149 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
106 |
103 |
$0.00 |
| 90723 |
|
138 |
136 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
29 |
26 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
59 |
51 |
$0.00 |
| 3008F |
|
19 |
17 |
$0.00 |