| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,311 |
6,705 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,774 |
3,498 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,150 |
1,093 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,695 |
2,904 |
$70K |
| 87428 |
|
1,116 |
1,077 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
676 |
671 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,246 |
3,122 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
527 |
474 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
386 |
383 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
723 |
694 |
$28K |
| 99429 |
|
695 |
645 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,624 |
774 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,469 |
1,025 |
$10K |
| 99215 |
Prolong outpt/office vis |
119 |
111 |
$9K |
| 90461 |
|
789 |
620 |
$8K |
| 97170 |
|
225 |
220 |
$5K |
| 96112 |
|
41 |
31 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
80 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
84 |
$2K |
| 94070 |
|
88 |
88 |
$2K |
| 99000 |
|
190 |
188 |
$2K |
| S8301 |
Infection control supplies, not otherwise specified |
376 |
362 |
$1K |
| 96160 |
|
482 |
470 |
$964.44 |
| 0071A |
|
22 |
20 |
$796.80 |
| 94726 |
|
86 |
86 |
$760.24 |
| 99001 |
|
144 |
141 |
$642.42 |
| 87807 |
|
60 |
57 |
$608.55 |
| 94729 |
|
61 |
61 |
$404.47 |
| 92587 |
|
37 |
37 |
$400.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$365.34 |
| 85018 |
|
185 |
164 |
$280.54 |
| 83655 |
|
29 |
28 |
$268.41 |
| 90671 |
|
113 |
109 |
$231.34 |
| 94200 |
|
38 |
38 |
$116.78 |
| 90686 |
|
952 |
941 |
$1.00 |
| 90670 |
|
184 |
170 |
$0.00 |
| 90633 |
|
33 |
25 |
$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) |
16 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90648 |
|
16 |
13 |
$0.00 |
| 96127 |
|
1,418 |
1,313 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 90698 |
|
84 |
82 |
$0.00 |
| 90680 |
|
16 |
16 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 91307 |
|
31 |
20 |
$0.00 |
| 90733 |
|
13 |
12 |
$0.00 |