| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,364 |
5,793 |
$349K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,463 |
1,452 |
$141K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,798 |
3,544 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
990 |
925 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
838 |
828 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
684 |
646 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
348 |
$39K |
| 87428 |
|
386 |
375 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,661 |
1,193 |
$16K |
| 99000 |
|
1,127 |
1,083 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
116 |
110 |
$11K |
| 90461 |
|
1,513 |
1,244 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
79 |
69 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
163 |
158 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$787.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$483.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$467.04 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
184 |
180 |
$140.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
13 |
$75.28 |
| 90686 |
|
834 |
820 |
$44.64 |
| 90633 |
|
139 |
138 |
$0.00 |
| 90670 |
|
507 |
492 |
$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) |
148 |
137 |
$0.00 |
| 90715 |
|
17 |
16 |
$0.00 |
| 90680 |
|
206 |
200 |
$0.00 |
| 90677 |
|
246 |
241 |
$0.00 |
| 90697 |
|
209 |
203 |
$0.00 |
| 90698 |
|
75 |
75 |
$0.00 |
| 90656 |
|
332 |
331 |
$0.00 |
| 90619 |
|
48 |
47 |
$0.00 |
| 90651 |
|
78 |
74 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90688 |
|
74 |
74 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |