| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,349 |
4,676 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,255 |
1,995 |
$211K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,181 |
3,660 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
985 |
907 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
314 |
$31K |
| 90461 |
|
1,231 |
1,099 |
$6K |
| 99215 |
Prolong outpt/office vis |
35 |
24 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
198 |
$3K |
| 90670 |
|
128 |
126 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
31 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
113 |
$1K |
| 90686 |
|
260 |
242 |
$1K |
| 0071A |
|
19 |
13 |
$879.44 |
| 0072A |
|
14 |
14 |
$686.31 |
| 90671 |
|
57 |
55 |
$518.30 |
| 90698 |
|
137 |
134 |
$505.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$424.13 |
| 90680 |
|
64 |
62 |
$108.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$92.71 |
| 96127 |
|
18 |
17 |
$88.20 |
| 90672 |
|
12 |
12 |
$57.54 |
| 96161 |
|
12 |
12 |
$0.00 |
| 91307 |
|
37 |
31 |
$0.00 |
| 90744 |
|
13 |
12 |
$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) |
38 |
30 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
13 |
$0.00 |