| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,838 |
5,091 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,315 |
1,247 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
428 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
268 |
249 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
186 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
934 |
840 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
790 |
362 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
267 |
240 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$4K |
| 87081 |
|
636 |
574 |
$3K |
| 92587 |
|
80 |
78 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$807.04 |
| 96127 |
|
156 |
150 |
$595.04 |
| 90688 |
|
413 |
398 |
$558.44 |
| 96160 |
|
145 |
141 |
$478.92 |
| 90461 |
|
16 |
13 |
$429.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$365.57 |
| 87807 |
|
33 |
30 |
$323.79 |
| 90671 |
|
48 |
48 |
$253.66 |
| 99188 |
|
17 |
15 |
$215.85 |
| 99177 |
|
21 |
16 |
$55.67 |
| 36416 |
|
23 |
20 |
$53.75 |
| 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) |
32 |
31 |
$48.28 |
| 3008F |
|
171 |
171 |
$0.17 |
| 90698 |
|
26 |
25 |
$0.01 |
| 99051 |
|
57 |
53 |
$0.00 |
| 2014F |
|
13 |
13 |
$0.00 |