| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,309 |
10,923 |
$802K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,189 |
4,160 |
$402K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,336 |
3,311 |
$341K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,975 |
2,830 |
$271K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,179 |
8,530 |
$228K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,921 |
1,911 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,533 |
$153K |
| 87428 |
|
990 |
967 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,754 |
3,356 |
$47K |
| 99000 |
|
3,875 |
3,720 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,915 |
1,838 |
$31K |
| 90461 |
|
4,435 |
3,737 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
402 |
391 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
849 |
410 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,001 |
994 |
$11K |
| 99383 |
|
37 |
37 |
$4K |
| 99384 |
|
15 |
15 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
290 |
117 |
$1K |
| 90651 |
|
958 |
955 |
$1K |
| 90620 |
|
149 |
149 |
$461.72 |
| 90686 |
|
3,181 |
3,166 |
$241.07 |
| 90734 |
|
180 |
179 |
$168.35 |
| 90688 |
|
53 |
53 |
$0.01 |
| 90698 |
|
1,084 |
1,082 |
$0.00 |
| 90680 |
|
1,355 |
1,338 |
$0.00 |
| 90697 |
|
676 |
662 |
$0.00 |
| 90677 |
|
517 |
512 |
$0.00 |
| 90744 |
|
375 |
372 |
$0.00 |
| 90716 |
|
178 |
177 |
$0.00 |
| 90696 |
|
124 |
124 |
$0.00 |
| 90619 |
|
304 |
301 |
$0.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
13 |
13 |
$0.00 |
| 90656 |
|
374 |
373 |
$0.00 |
| 91307 |
|
37 |
37 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |
| 96127 |
|
44 |
44 |
$0.00 |
| 90715 |
|
139 |
137 |
$0.00 |
| 90633 |
|
1,238 |
1,229 |
$0.00 |
| 90670 |
|
1,966 |
1,943 |
$0.00 |
| 90710 |
|
99 |
99 |
$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) |
213 |
181 |
$0.00 |
| 90707 |
|
184 |
181 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |