| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
2,015 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,227 |
978 |
$119K |
| 96160 |
|
2,951 |
1,729 |
$69K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
438 |
364 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,203 |
1,027 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,066 |
924 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
129 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
107 |
$13K |
| 99401 |
|
376 |
317 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
148 |
125 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
52 |
$5K |
| 92587 |
|
155 |
143 |
$4K |
| 96161 |
|
71 |
66 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$982.82 |
| 96127 |
|
43 |
31 |
$973.40 |
| 36416 |
|
213 |
183 |
$562.42 |
| 99051 |
|
59 |
53 |
$398.31 |
| 94760 |
|
126 |
93 |
$167.84 |
| 96380 |
|
14 |
12 |
$135.41 |
| 99173 |
|
15 |
15 |
$114.00 |
| 92551 |
|
14 |
13 |
$70.08 |
| 90686 |
|
575 |
417 |
$22.36 |
| 85018 |
|
64 |
52 |
$4.06 |
| 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) |
125 |
103 |
$0.00 |
| 90461 |
|
284 |
230 |
$0.00 |
| 90380 |
|
14 |
12 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |