| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,656 |
4,159 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,625 |
6,046 |
$452K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,718 |
1,701 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,139 |
1,064 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,637 |
4,529 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,064 |
1,059 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,490 |
1,472 |
$67K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,912 |
2,866 |
$64K |
| 99215 |
Prolong outpt/office vis |
237 |
223 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
238 |
237 |
$24K |
| D0145 |
Oral evaluation for a patient under three years of age |
346 |
341 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
552 |
526 |
$6K |
| D1206 |
Topical application of fluoride varnish |
439 |
435 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
169 |
164 |
$4K |
| 99188 |
|
166 |
165 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
186 |
$3K |
| 90473 |
|
38 |
38 |
$876.90 |
| 96127 |
|
202 |
179 |
$770.73 |
| 94760 |
|
168 |
149 |
$286.42 |
| 90648 |
|
13 |
13 |
$0.13 |
| 90670 |
|
754 |
743 |
$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) |
201 |
181 |
$0.00 |
| 90685 |
|
144 |
143 |
$0.00 |
| 90633 |
|
146 |
144 |
$0.00 |
| 90734 |
|
143 |
143 |
$0.00 |
| 90707 |
|
98 |
98 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90681 |
|
64 |
63 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90686 |
|
1,683 |
1,670 |
$0.00 |
| 90744 |
|
156 |
155 |
$0.00 |
| 90697 |
|
29 |
29 |
$0.00 |
| 90698 |
|
430 |
422 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90677 |
|
31 |
31 |
$0.00 |
| 90716 |
|
94 |
94 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |