| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,770 |
38,858 |
$2.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,403 |
13,322 |
$1.29M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,032 |
12,254 |
$1.18M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,815 |
10,769 |
$1.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68,825 |
29,478 |
$868K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,286 |
5,257 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,787 |
5,567 |
$539K |
| 87428 |
|
4,405 |
4,304 |
$292K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,887 |
16,528 |
$209K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,959 |
2,905 |
$156K |
| 99000 |
|
11,786 |
11,388 |
$133K |
| 99429 |
|
3,203 |
3,182 |
$132K |
| 99381 |
|
1,007 |
1,001 |
$92K |
| 90461 |
|
15,507 |
12,780 |
$80K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,814 |
2,383 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,299 |
1,274 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,706 |
2,656 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,039 |
3,019 |
$38K |
| 99051 |
|
2,513 |
2,462 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,490 |
398 |
$5K |
| 0081A |
|
126 |
95 |
$4K |
| 99383 |
|
42 |
42 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$4K |
| 90480 |
|
125 |
121 |
$4K |
| 90651 |
|
3,187 |
3,175 |
$3K |
| 0071A |
|
46 |
46 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 0082A |
|
30 |
30 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
221 |
218 |
$1K |
| 0154A |
|
27 |
27 |
$1K |
| 96380 |
|
68 |
67 |
$1K |
| 90686 |
|
13,332 |
13,175 |
$1K |
| 0054A |
|
25 |
25 |
$1K |
| 96381 |
|
36 |
36 |
$617.30 |
| 81002 |
|
181 |
172 |
$601.42 |
| 0124A |
|
12 |
12 |
$568.00 |
| 87807 |
|
20 |
19 |
$288.25 |
| 90621 |
|
228 |
226 |
$255.49 |
| 94760 |
|
660 |
648 |
$186.21 |
| 90716 |
|
934 |
928 |
$174.76 |
| 90619 |
|
682 |
676 |
$159.20 |
| 90633 |
|
4,404 |
4,386 |
$41.16 |
| 90697 |
|
3,700 |
3,476 |
$0.02 |
| 90700 |
|
666 |
662 |
$0.00 |
| 90670 |
|
7,471 |
7,140 |
$0.00 |
| 90734 |
|
306 |
306 |
$0.00 |
| 90710 |
|
681 |
678 |
$0.00 |
| 90707 |
|
897 |
891 |
$0.00 |
| 91308 |
|
267 |
245 |
$0.00 |
| 90648 |
|
2,460 |
2,457 |
$0.00 |
| 90715 |
|
251 |
251 |
$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) |
652 |
620 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90380 |
|
21 |
20 |
$0.00 |
| 90680 |
|
6,591 |
6,276 |
$0.00 |
| 90723 |
|
994 |
992 |
$0.00 |
| 90677 |
|
2,645 |
2,625 |
$0.00 |
| 90698 |
|
1,019 |
1,016 |
$0.00 |
| 91315 |
|
40 |
40 |
$0.00 |
| 90696 |
|
618 |
615 |
$0.00 |
| 90656 |
|
1,602 |
1,602 |
$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) |
279 |
252 |
$0.00 |
| 36416 |
|
204 |
183 |
$0.00 |
| 91307 |
|
352 |
316 |
$0.00 |
| 90381 |
|
53 |
53 |
$0.00 |
| 96127 |
|
74 |
73 |
$0.00 |
| 91305 |
|
59 |
58 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 91317 |
|
14 |
14 |
$0.00 |