| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,842 |
15,823 |
$697K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,465 |
4,784 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
645 |
604 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
434 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
394 |
388 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
395 |
355 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
340 |
325 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
472 |
424 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
80 |
$5K |
| 90686 |
|
459 |
443 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$378.60 |
| 90670 |
|
148 |
134 |
$250.00 |
| 90648 |
|
131 |
119 |
$220.33 |
| 90633 |
|
12 |
12 |
$173.25 |
| 90473 |
|
18 |
13 |
$58.05 |
| 96127 |
|
12 |
12 |
$49.24 |
| 96160 |
|
12 |
12 |
$28.63 |
| 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) |
1,203 |
1,113 |
$14.00 |
| 90677 |
|
25 |
25 |
$0.04 |
| 90707 |
|
27 |
26 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90647 |
|
27 |
27 |
$0.00 |
| 90723 |
|
53 |
52 |
$0.00 |
| 90680 |
|
18 |
13 |
$0.00 |