| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,047 |
6,557 |
$479K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,034 |
3,753 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,063 |
896 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
494 |
461 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
193 |
173 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
131 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
471 |
391 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
349 |
335 |
$8K |
| 36416 |
|
1,528 |
1,424 |
$5K |
| 92587 |
|
55 |
54 |
$2K |
| 99173 |
|
184 |
163 |
$1K |
| 92551 |
|
144 |
136 |
$869.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
32 |
$738.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$453.00 |
| 0072A |
|
16 |
16 |
$440.00 |
| 90686 |
|
2,123 |
2,014 |
$417.15 |
| 0071A |
|
12 |
12 |
$400.00 |
| 87428 |
|
14 |
13 |
$371.28 |
| 87400 |
|
35 |
16 |
$297.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
25 |
$251.90 |
| 87430 |
|
12 |
12 |
$125.95 |
| 85018 |
|
1,636 |
1,503 |
$36.16 |
| 90698 |
|
24 |
24 |
$0.00 |
| 99000 |
|
308 |
265 |
$0.00 |
| 91307 |
|
35 |
33 |
$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) |
529 |
447 |
$0.00 |
| 90461 |
|
334 |
313 |
$0.00 |
| 99072 |
|
69 |
65 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |