| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,149 |
5,749 |
$321K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,191 |
$92K |
| 87428 |
|
1,200 |
1,147 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
625 |
620 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
525 |
519 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
566 |
532 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,417 |
2,001 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
313 |
308 |
$31K |
| 99000 |
|
1,595 |
1,521 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,126 |
1,115 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,303 |
965 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
843 |
799 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,197 |
914 |
$11K |
| 99215 |
Prolong outpt/office vis |
52 |
51 |
$4K |
| 90461 |
|
465 |
429 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
50 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
64 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90474 |
|
15 |
15 |
$174.42 |
| 90686 |
|
1,389 |
1,366 |
$3.78 |
| 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) |
58 |
57 |
$0.18 |
| 90619 |
|
40 |
40 |
$0.00 |
| 90697 |
|
68 |
68 |
$0.00 |
| 90651 |
|
140 |
139 |
$0.00 |
| 90698 |
|
54 |
54 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90680 |
|
42 |
42 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90734 |
|
20 |
19 |
$0.00 |
| 90670 |
|
288 |
287 |
$0.00 |
| 90633 |
|
53 |
52 |
$0.00 |
| 90621 |
|
17 |
17 |
$0.00 |