| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,065 |
10,579 |
$448K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,391 |
12,379 |
$368K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,061 |
4,059 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,887 |
3,887 |
$270K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,372 |
2,371 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,793 |
1,781 |
$117K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,215 |
2,179 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
547 |
541 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,273 |
1,095 |
$12K |
| G9007 |
Coordinated care fee, scheduled team conference |
118 |
118 |
$12K |
| 96127 |
|
1,697 |
1,695 |
$6K |
| 90677 |
|
191 |
191 |
$5K |
| 0072A |
|
128 |
128 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
561 |
559 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$3K |
| 0071A |
|
69 |
69 |
$3K |
| 90480 |
|
87 |
87 |
$2K |
| 83655 |
|
154 |
154 |
$2K |
| 90686 |
|
3,959 |
3,954 |
$2K |
| 87428 |
|
34 |
33 |
$1K |
| 0001A |
|
34 |
32 |
$1K |
| 0002A |
|
32 |
32 |
$1K |
| 90671 |
|
110 |
110 |
$1K |
| 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) |
231 |
226 |
$1K |
| 99442 |
|
45 |
44 |
$1K |
| 87430 |
|
84 |
79 |
$743.21 |
| 91321 |
|
41 |
41 |
$474.99 |
| 90620 |
|
13 |
13 |
$409.19 |
| 90461 |
|
333 |
332 |
$388.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$327.15 |
| 85018 |
|
159 |
159 |
$196.82 |
| 90656 |
|
216 |
216 |
$174.05 |
| 99441 |
|
12 |
12 |
$129.16 |
| 99051 |
|
29 |
29 |
$118.40 |
| 94760 |
|
228 |
213 |
$59.13 |
| 36416 |
|
188 |
188 |
$1.65 |
| 90734 |
|
111 |
111 |
$0.00 |
| 90633 |
|
65 |
65 |
$0.00 |
| 99080 |
|
811 |
811 |
$0.00 |
| 90670 |
|
447 |
447 |
$0.00 |
| 99499 |
|
261 |
261 |
$0.00 |
| 90648 |
|
441 |
440 |
$0.00 |
| 91300 |
|
147 |
136 |
$0.00 |
| 90680 |
|
76 |
76 |
$0.00 |
| 90651 |
|
87 |
87 |
$0.00 |
| 90723 |
|
179 |
178 |
$0.00 |
| 91307 |
|
225 |
211 |
$0.00 |
| 90698 |
|
71 |
71 |
$0.00 |