| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,402 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,116 |
1,061 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
453 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
821 |
813 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
442 |
385 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
439 |
423 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
58 |
$6K |
| 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) |
542 |
508 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
541 |
509 |
$6K |
| 96127 |
|
1,165 |
753 |
$4K |
| 90461 |
|
64 |
63 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
123 |
$1K |
| 87807 |
|
67 |
63 |
$535.89 |
| 96160 |
|
174 |
172 |
$483.97 |
| 99050 |
|
14 |
13 |
$425.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$168.00 |
| 99177 |
|
41 |
41 |
$127.10 |
| 90656 |
|
71 |
71 |
$33.00 |
| 90686 |
|
258 |
253 |
$2.53 |
| 90672 |
|
14 |
12 |
$0.63 |