| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,138 |
21,586 |
$1.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,063 |
8,927 |
$958K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,245 |
12,235 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,957 |
1,957 |
$174K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,654 |
3,627 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,145 |
1,132 |
$96K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,122 |
1,116 |
$61K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,874 |
1,864 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
467 |
467 |
$41K |
| 99051 |
|
4,628 |
4,594 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$6K |
| 83655 |
|
78 |
78 |
$923.52 |
| 0072A |
|
13 |
13 |
$469.17 |
| 0071A |
|
13 |
13 |
$469.17 |
| 90686 |
|
2,406 |
2,405 |
$462.72 |
| 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) |
32 |
32 |
$442.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
65 |
$408.66 |
| 99173 |
|
541 |
541 |
$243.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$174.00 |
| 96127 |
|
12 |
12 |
$52.36 |
| 99177 |
|
75 |
75 |
$45.24 |
| 85018 |
|
12 |
12 |
$22.07 |
| 91307 |
|
38 |
38 |
$0.00 |
| 90656 |
|
174 |
174 |
$0.00 |
| 90698 |
|
62 |
62 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |