| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,468 |
12,014 |
$461K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,289 |
5,284 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
809 |
809 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
780 |
780 |
$50K |
| 87428 |
|
504 |
498 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,765 |
2,713 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
476 |
472 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
278 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
291 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
245 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,131 |
1,130 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
517 |
374 |
$10K |
| 96160 |
|
1,813 |
1,811 |
$3K |
| G9007 |
Coordinated care fee, scheduled team conference |
18 |
17 |
$2K |
| 94760 |
|
3,864 |
3,767 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
62 |
$620.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
52 |
$411.29 |
| 96127 |
|
78 |
78 |
$275.66 |
| 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) |
52 |
51 |
$185.90 |
| 90686 |
|
1,770 |
1,770 |
$97.52 |
| 85018 |
|
53 |
53 |
$68.57 |
| 99000 |
|
1,236 |
1,217 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |
| 36416 |
|
201 |
200 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90461 |
|
86 |
85 |
$0.00 |
| 90670 |
|
100 |
100 |
$0.00 |
| 90661 |
|
164 |
164 |
$0.00 |
| 99080 |
|
15 |
15 |
$0.00 |
| 90685 |
|
83 |
83 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |