| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,749 |
7,705 |
$492K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,905 |
4,614 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,962 |
1,904 |
$170K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,045 |
1,968 |
$167K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,870 |
2,770 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
799 |
759 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
572 |
548 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
130 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
967 |
554 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,143 |
1,100 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
289 |
275 |
$8K |
| 87807 |
|
337 |
315 |
$3K |
| 99381 |
|
29 |
28 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
254 |
242 |
$2K |
| 94760 |
|
361 |
330 |
$787.83 |
| 96127 |
|
82 |
75 |
$299.67 |
| 83655 |
|
15 |
15 |
$211.80 |
| 85018 |
|
28 |
28 |
$60.07 |
| 90671 |
|
164 |
164 |
$0.09 |
| 90686 |
|
858 |
818 |
$0.03 |
| 90647 |
|
1,048 |
1,023 |
$0.00 |
| 99000 |
|
850 |
754 |
$0.00 |
| 90716 |
|
475 |
459 |
$0.00 |
| 90723 |
|
1,073 |
1,049 |
$0.00 |
| 90680 |
|
630 |
610 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90670 |
|
1,314 |
1,270 |
$0.00 |
| 90681 |
|
148 |
148 |
$0.00 |
| 90633 |
|
622 |
605 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90707 |
|
471 |
454 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 99173 |
|
84 |
83 |
$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) |
174 |
168 |
$0.00 |
| 90715 |
|
17 |
12 |
$0.00 |