| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,428 |
11,836 |
$788K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,995 |
5,937 |
$577K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,340 |
5,034 |
$490K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,382 |
2,365 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,283 |
2,192 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,530 |
4,694 |
$138K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,162 |
8,084 |
$107K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,792 |
5,812 |
$79K |
| 99000 |
|
6,790 |
6,570 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
652 |
649 |
$73K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,291 |
907 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,260 |
5,299 |
$69K |
| 90832 |
Psychotherapy, 30 minutes with patient |
754 |
607 |
$32K |
| 87428 |
|
448 |
444 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
759 |
748 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
178 |
$10K |
| 90461 |
|
1,483 |
1,406 |
$8K |
| 99381 |
|
78 |
76 |
$8K |
| 90474 |
|
708 |
696 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
63 |
$2K |
| 0081A |
|
68 |
43 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
27 |
$2K |
| 90651 |
|
441 |
437 |
$1K |
| 90480 |
|
34 |
31 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105 |
104 |
$780.04 |
| 0082A |
|
32 |
19 |
$680.76 |
| 0154A |
|
13 |
13 |
$597.00 |
| 0074A |
|
14 |
13 |
$576.00 |
| 96381 |
|
29 |
29 |
$504.48 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
25 |
25 |
$266.72 |
| 90686 |
|
3,516 |
3,472 |
$261.99 |
| 90670 |
|
3,028 |
2,960 |
$0.01 |
| 90619 |
|
80 |
80 |
$0.00 |
| 90677 |
|
1,150 |
1,134 |
$0.00 |
| 90698 |
|
1,014 |
1,004 |
$0.00 |
| 90680 |
|
1,973 |
1,916 |
$0.00 |
| 90697 |
|
1,798 |
1,722 |
$0.00 |
| 90656 |
|
809 |
807 |
$0.00 |
| 90688 |
|
163 |
161 |
$0.00 |
| 90744 |
|
391 |
384 |
$0.00 |
| 90716 |
|
133 |
132 |
$0.00 |
| 91307 |
|
28 |
28 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |
| 90633 |
|
1,400 |
1,387 |
$0.00 |
| 90707 |
|
148 |
146 |
$0.00 |
| 90710 |
|
50 |
50 |
$0.00 |
| 91308 |
|
131 |
112 |
$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) |
37 |
32 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |