| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,662 |
38,791 |
$2.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,592 |
11,528 |
$1.12M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,331 |
9,724 |
$937K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,944 |
8,901 |
$916K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,507 |
6,485 |
$728K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56,826 |
25,211 |
$724K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,550 |
4,410 |
$431K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,730 |
9,519 |
$157K |
| 99000 |
|
13,356 |
13,050 |
$155K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,809 |
11,716 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,170 |
3,080 |
$139K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,543 |
1,523 |
$81K |
| 90461 |
|
13,341 |
11,269 |
$70K |
| 99381 |
|
600 |
581 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,593 |
1,797 |
$59K |
| 87428 |
|
692 |
685 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,488 |
2,479 |
$31K |
| 99429 |
|
532 |
526 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
147 |
142 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
109 |
$7K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 90621 |
|
922 |
913 |
$4K |
| 99384 |
|
26 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
808 |
270 |
$3K |
| 90686 |
|
10,437 |
10,337 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 0054A |
|
27 |
27 |
$1K |
| 90651 |
|
2,853 |
2,834 |
$1K |
| 96381 |
|
72 |
66 |
$1K |
| 81002 |
|
320 |
314 |
$1K |
| 90677 |
|
2,128 |
2,048 |
$914.16 |
| 69210 |
|
16 |
15 |
$680.40 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
12 |
12 |
$670.90 |
| 0071A |
|
13 |
13 |
$624.00 |
| 99051 |
|
22 |
22 |
$246.96 |
| 96380 |
|
13 |
13 |
$221.00 |
| 90707 |
|
621 |
611 |
$206.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$193.49 |
| 90716 |
|
572 |
564 |
$183.46 |
| 90619 |
|
1,189 |
1,150 |
$173.76 |
| 90734 |
|
568 |
567 |
$168.35 |
| 90696 |
|
482 |
478 |
$49.00 |
| 90715 |
|
431 |
427 |
$37.80 |
| 90680 |
|
4,706 |
4,593 |
$0.00 |
| 90744 |
|
1,567 |
1,561 |
$0.00 |
| 90698 |
|
4,190 |
4,154 |
$0.00 |
| 90697 |
|
2,356 |
2,305 |
$0.00 |
| 96127 |
|
212 |
212 |
$0.00 |
| 91307 |
|
160 |
143 |
$0.00 |
| 90656 |
|
1,344 |
1,343 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
253 |
229 |
$0.00 |
| 36416 |
|
172 |
155 |
$0.00 |
| 90381 |
|
57 |
41 |
$0.00 |
| 91305 |
|
44 |
44 |
$0.00 |
| 90710 |
|
774 |
766 |
$0.00 |
| 90633 |
|
4,006 |
3,972 |
$0.00 |
| 90670 |
|
5,936 |
5,858 |
$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) |
578 |
549 |
$0.00 |
| 90700 |
|
229 |
225 |
$0.00 |
| 90648 |
|
141 |
138 |
$0.00 |
| 91308 |
|
64 |
53 |
$0.00 |
| 90380 |
|
27 |
25 |
$0.00 |