| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,705 |
3,419 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
957 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,489 |
1,326 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,145 |
981 |
$83K |
| 99401 |
|
2,879 |
2,701 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,114 |
2,898 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
368 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
614 |
553 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
117 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
199 |
186 |
$10K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
200 |
119 |
$9K |
| 92551 |
|
905 |
836 |
$9K |
| 92558 |
|
342 |
319 |
$3K |
| 0071A |
|
55 |
53 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
270 |
255 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
143 |
87 |
$2K |
| 90671 |
|
107 |
105 |
$2K |
| 0072A |
|
26 |
25 |
$2K |
| 90461 |
|
960 |
899 |
$1K |
| 99173 |
|
148 |
132 |
$1K |
| 99072 |
|
3,474 |
3,175 |
$1K |
| 99177 |
|
86 |
77 |
$804.22 |
| 90670 |
|
100 |
95 |
$673.45 |
| 90698 |
|
107 |
105 |
$498.33 |
| 90686 |
|
40 |
27 |
$488.39 |
| 96160 |
|
424 |
376 |
$404.80 |
| 94760 |
|
111 |
98 |
$205.96 |
| 83655 |
|
14 |
14 |
$203.72 |
| 90688 |
|
1,035 |
1,005 |
$132.12 |
| 90680 |
|
70 |
66 |
$99.32 |
| 99000 |
|
65 |
50 |
$96.34 |
| 36416 |
|
40 |
29 |
$63.36 |
| 85018 |
|
16 |
16 |
$46.02 |
| 90687 |
|
116 |
110 |
$44.62 |
| 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) |
290 |
274 |
$0.00 |
| 91308 |
|
35 |
30 |
$0.00 |
| 90658 |
|
59 |
56 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 91307 |
|
90 |
87 |
$0.00 |