| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,153 |
5,726 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,637 |
1,618 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,539 |
1,464 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,158 |
1,135 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,574 |
3,659 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
284 |
278 |
$27K |
| 87428 |
|
308 |
303 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,775 |
1,267 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
405 |
383 |
$14K |
| 90461 |
|
2,370 |
2,050 |
$12K |
| 99000 |
|
1,221 |
1,196 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
66 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
257 |
$3K |
| 99381 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
26 |
$950.18 |
| 0081A |
|
18 |
16 |
$574.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$547.28 |
| 90680 |
|
384 |
380 |
$0.00 |
| 90698 |
|
267 |
264 |
$0.00 |
| 90686 |
|
1,563 |
1,551 |
$0.00 |
| 90744 |
|
130 |
128 |
$0.00 |
| 90677 |
|
73 |
69 |
$0.00 |
| 90651 |
|
142 |
140 |
$0.00 |
| 90697 |
|
50 |
49 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 90670 |
|
855 |
847 |
$0.00 |
| 90633 |
|
162 |
161 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 91308 |
|
36 |
32 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$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) |
13 |
12 |
$0.00 |