| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,225 |
12,376 |
$830K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,554 |
4,510 |
$440K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,611 |
4,330 |
$427K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,043 |
3,868 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,072 |
1,063 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,053 |
5,966 |
$83K |
| 99000 |
|
5,165 |
4,953 |
$59K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,200 |
4,066 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,025 |
3,535 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
396 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
199 |
$22K |
| 99381 |
|
121 |
121 |
$12K |
| 99383 |
|
104 |
104 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
743 |
708 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
77 |
$10K |
| 87428 |
|
175 |
168 |
$9K |
| 90474 |
|
651 |
645 |
$7K |
| 90461 |
|
1,318 |
1,138 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
51 |
$5K |
| 99382 |
|
39 |
39 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
42 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
176 |
167 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
28 |
$961.88 |
| 96381 |
|
46 |
45 |
$751.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$705.64 |
| 90670 |
|
2,295 |
2,148 |
$220.23 |
| 90686 |
|
2,402 |
2,351 |
$64.72 |
| 90744 |
|
48 |
48 |
$30.71 |
| 90697 |
|
2,001 |
1,822 |
$0.03 |
| 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) |
79 |
78 |
$0.01 |
| 90633 |
|
813 |
805 |
$0.00 |
| 90707 |
|
52 |
52 |
$0.00 |
| 90680 |
|
1,854 |
1,739 |
$0.00 |
| 90677 |
|
1,248 |
1,233 |
$0.00 |
| 90698 |
|
380 |
369 |
$0.00 |
| 90656 |
|
731 |
729 |
$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) |
54 |
50 |
$0.00 |
| 90651 |
|
76 |
75 |
$0.00 |
| 90688 |
|
130 |
121 |
$0.00 |
| 36416 |
|
55 |
51 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 90381 |
|
25 |
25 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |