| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,501 |
2,244 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,361 |
2,780 |
$181K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,528 |
1,512 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
181 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
724 |
713 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
69 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
160 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
211 |
$3K |
| 96127 |
|
665 |
627 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
33 |
$1K |
| 87807 |
|
28 |
27 |
$218.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$147.00 |
| 92568 |
|
16 |
14 |
$142.56 |
| 90686 |
|
378 |
378 |
$100.68 |
| 97802 |
|
13 |
13 |
$95.00 |
| 90656 |
|
55 |
55 |
$22.35 |
| 3074F |
|
1,311 |
1,086 |
$0.04 |
| 3078F |
|
1,253 |
1,036 |
$0.03 |
| G8482 |
Influenza immunization administered or previously received |
587 |
471 |
$0.02 |
| 3008F |
|
217 |
211 |
$0.00 |
| 1111F |
|
18 |
16 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
753 |
600 |
$0.00 |
| 99072 |
|
1,506 |
1,192 |
$0.00 |
| 90461 |
|
153 |
152 |
$0.00 |
| 90685 |
|
13 |
13 |
$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) |
15 |
13 |
$0.00 |