| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,446 |
19,903 |
$1.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,535 |
4,502 |
$433K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,465 |
2,454 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,590 |
2,454 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,216 |
2,104 |
$193K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,132 |
1,121 |
$125K |
| 87428 |
|
1,806 |
1,764 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,200 |
3,710 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,300 |
6,242 |
$74K |
| 99000 |
|
4,093 |
4,003 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,134 |
3,526 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,622 |
3,218 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,372 |
2,288 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
370 |
$20K |
| 99381 |
|
102 |
100 |
$9K |
| 90461 |
|
937 |
881 |
$7K |
| 90474 |
|
670 |
655 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
370 |
187 |
$6K |
| 99383 |
|
32 |
32 |
$4K |
| 99493 |
|
25 |
25 |
$3K |
| 99494 |
|
24 |
24 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 90686 |
|
3,673 |
3,628 |
$285.97 |
| 90651 |
|
97 |
97 |
$0.00 |
| 90680 |
|
1,141 |
1,110 |
$0.00 |
| 90697 |
|
230 |
223 |
$0.00 |
| 90698 |
|
1,404 |
1,387 |
$0.00 |
| 90716 |
|
736 |
728 |
$0.00 |
| 90744 |
|
542 |
524 |
$0.00 |
| 90656 |
|
418 |
418 |
$0.00 |
| 90677 |
|
155 |
148 |
$0.00 |
| 90696 |
|
131 |
131 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
41 |
38 |
$0.00 |
| 96127 |
|
48 |
41 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 36416 |
|
59 |
52 |
$0.00 |
| 91307 |
|
30 |
29 |
$0.00 |
| 91305 |
|
24 |
24 |
$0.00 |
| 90670 |
|
1,768 |
1,732 |
$0.00 |
| 90633 |
|
946 |
935 |
$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) |
161 |
154 |
$0.00 |
| 90707 |
|
716 |
709 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| 91308 |
|
14 |
12 |
$0.00 |