| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,219 |
5,812 |
$390K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,277 |
1,272 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
891 |
825 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,153 |
2,133 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
292 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
220 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,637 |
740 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,262 |
923 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,252 |
939 |
$12K |
| 87428 |
|
153 |
147 |
$10K |
| 99000 |
|
768 |
735 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
162 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$814.20 |
| 90461 |
|
140 |
125 |
$614.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$467.04 |
| 90474 |
|
42 |
40 |
$373.80 |
| 90686 |
|
1,172 |
1,164 |
$88.31 |
| 90670 |
|
438 |
413 |
$0.01 |
| 90633 |
|
36 |
36 |
$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) |
14 |
12 |
$0.00 |
| 90656 |
|
255 |
255 |
$0.00 |
| 90697 |
|
129 |
124 |
$0.00 |
| 90677 |
|
130 |
129 |
$0.00 |
| 90680 |
|
125 |
120 |
$0.00 |
| 90698 |
|
45 |
41 |
$0.00 |