| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,476 |
12,446 |
$828K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,237 |
3,999 |
$371K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,545 |
3,305 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,067 |
3,040 |
$294K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
908 |
900 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,287 |
2,370 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,067 |
4,978 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,353 |
1,318 |
$62K |
| 87428 |
|
916 |
904 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,904 |
3,611 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,930 |
2,859 |
$38K |
| 99381 |
|
280 |
274 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
197 |
$22K |
| 99000 |
|
1,255 |
1,228 |
$15K |
| 99383 |
|
104 |
102 |
$11K |
| 90474 |
|
876 |
860 |
$9K |
| 90461 |
|
1,307 |
1,174 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
408 |
398 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
687 |
677 |
$5K |
| 99382 |
|
37 |
37 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
26 |
$3K |
| 69210 |
|
50 |
49 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
55 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 90686 |
|
2,039 |
2,022 |
$44.28 |
| 90700 |
|
166 |
165 |
$0.00 |
| 90633 |
|
909 |
898 |
$0.00 |
| 90670 |
|
1,827 |
1,802 |
$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) |
133 |
119 |
$0.00 |
| 90648 |
|
128 |
126 |
$0.00 |
| 90710 |
|
113 |
112 |
$0.00 |
| 90707 |
|
125 |
122 |
$0.00 |
| 91308 |
|
25 |
25 |
$0.00 |
| 90698 |
|
985 |
970 |
$0.00 |
| 36416 |
|
148 |
126 |
$0.00 |
| 90680 |
|
1,591 |
1,572 |
$0.00 |
| 90656 |
|
364 |
364 |
$0.00 |
| 90677 |
|
739 |
732 |
$0.00 |
| 90744 |
|
514 |
512 |
$0.00 |
| 90697 |
|
490 |
486 |
$0.00 |
| 90716 |
|
144 |
141 |
$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) |
126 |
122 |
$0.00 |
| 90619 |
|
15 |
14 |
$0.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
25 |
25 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |