| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,798 |
20,534 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,750 |
9,238 |
$949K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,863 |
5,811 |
$596K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,932 |
4,874 |
$470K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,193 |
3,184 |
$356K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,255 |
2,166 |
$204K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,160 |
3,090 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,735 |
7,193 |
$153K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,172 |
7,113 |
$84K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,455 |
5,112 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,701 |
1,655 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,341 |
2,116 |
$69K |
| 87428 |
|
732 |
717 |
$64K |
| 99000 |
|
5,421 |
5,271 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,473 |
3,390 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,313 |
3,771 |
$49K |
| 90834 |
Psychotherapy, 45 minutes with patient |
815 |
591 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
177 |
174 |
$17K |
| 99381 |
|
120 |
120 |
$10K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
137 |
111 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
146 |
105 |
$6K |
| 90461 |
|
926 |
890 |
$4K |
| 0124A |
|
63 |
62 |
$3K |
| 90474 |
|
249 |
244 |
$3K |
| 0054A |
|
40 |
40 |
$2K |
| 90651 |
|
1,449 |
1,437 |
$1K |
| 0071A |
|
30 |
30 |
$1K |
| 81002 |
|
373 |
349 |
$1K |
| 90686 |
|
5,623 |
5,570 |
$984.89 |
| 99051 |
|
54 |
52 |
$784.25 |
| 0121A |
|
15 |
15 |
$720.00 |
| 0072A |
|
15 |
15 |
$720.00 |
| 0154A |
|
12 |
12 |
$568.00 |
| 90670 |
|
1,708 |
1,679 |
$260.18 |
| 90621 |
|
113 |
112 |
$257.36 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
16 |
12 |
$112.00 |
| 90688 |
|
913 |
907 |
$42.26 |
| 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) |
280 |
254 |
$0.00 |
| 90633 |
|
687 |
677 |
$0.00 |
| 90710 |
|
219 |
217 |
$0.00 |
| 90707 |
|
41 |
41 |
$0.00 |
| 90672 |
|
32 |
32 |
$0.00 |
| 90734 |
|
62 |
60 |
$0.00 |
| 91312 |
|
77 |
77 |
$0.00 |
| 90715 |
|
39 |
38 |
$0.00 |
| 90698 |
|
1,005 |
990 |
$0.00 |
| 90680 |
|
683 |
673 |
$0.00 |
| 90619 |
|
311 |
309 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90716 |
|
43 |
43 |
$0.00 |
| 90697 |
|
268 |
267 |
$0.00 |
| 91307 |
|
239 |
220 |
$0.00 |
| 90656 |
|
720 |
718 |
$0.00 |
| 90696 |
|
73 |
71 |
$0.00 |
| 90677 |
|
298 |
297 |
$0.00 |
| 91305 |
|
122 |
117 |
$0.00 |
| 90744 |
|
253 |
248 |
$0.00 |
| 96127 |
|
56 |
54 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |