| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,906 |
2,315 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
638 |
552 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
754 |
680 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
494 |
438 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,989 |
1,107 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
270 |
242 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,283 |
937 |
$6K |
| 99000 |
|
597 |
516 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
87 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
202 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
104 |
$909.95 |
| 90461 |
|
770 |
644 |
$892.83 |
| 83655 |
|
89 |
80 |
$488.16 |
| 87807 |
|
73 |
70 |
$385.00 |
| 92551 |
|
118 |
106 |
$352.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
39 |
$211.69 |
| 85018 |
|
183 |
157 |
$63.68 |
| 96161 |
|
507 |
393 |
$7.25 |
| 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) |
337 |
295 |
$1.01 |
| 90686 |
|
335 |
307 |
$0.02 |
| 96127 |
|
391 |
344 |
$0.00 |
| 90677 |
|
137 |
120 |
$0.00 |
| 90680 |
|
93 |
83 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
103 |
$0.00 |
| 90697 |
|
29 |
28 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 90698 |
|
20 |
17 |
$0.00 |
| 99173 |
|
169 |
153 |
$0.00 |
| 90670 |
|
262 |
234 |
$0.00 |
| 90633 |
|
57 |
48 |
$0.00 |
| 90700 |
|
15 |
12 |
$0.00 |
| 90648 |
|
15 |
12 |
$0.00 |