| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,717 |
16,806 |
$1.09M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,604 |
5,273 |
$520K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,110 |
5,062 |
$490K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,815 |
1,809 |
$185K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,416 |
4,055 |
$109K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,836 |
7,743 |
$101K |
| 87428 |
|
1,485 |
1,460 |
$78K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,144 |
5,379 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
682 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,590 |
3,949 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
356 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,330 |
2,274 |
$37K |
| 99000 |
|
1,473 |
1,373 |
$16K |
| 99381 |
|
107 |
107 |
$11K |
| 90461 |
|
1,254 |
1,164 |
$9K |
| 90474 |
|
728 |
711 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
142 |
138 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
192 |
$6K |
| 0081A |
|
51 |
30 |
$1K |
| 96381 |
|
35 |
35 |
$576.87 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
27 |
27 |
$513.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$353.40 |
| 90651 |
|
241 |
238 |
$293.60 |
| 90686 |
|
3,618 |
3,559 |
$284.15 |
| 90670 |
|
2,802 |
2,693 |
$0.01 |
| 90710 |
|
567 |
563 |
$0.00 |
| 90633 |
|
1,025 |
1,012 |
$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) |
131 |
121 |
$0.00 |
| 91308 |
|
95 |
76 |
$0.00 |
| 90744 |
|
366 |
355 |
$0.00 |
| 90677 |
|
1,243 |
1,229 |
$0.00 |
| 90680 |
|
2,042 |
1,967 |
$0.00 |
| 90656 |
|
711 |
710 |
$0.00 |
| 90697 |
|
1,669 |
1,612 |
$0.00 |
| 90698 |
|
1,147 |
1,122 |
$0.00 |
| 91307 |
|
32 |
31 |
$0.00 |
| 90619 |
|
51 |
51 |
$0.00 |
| 90381 |
|
14 |
14 |
$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) |
13 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |