| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,739 |
3,271 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,372 |
1,251 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,215 |
1,474 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
450 |
428 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
345 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
302 |
274 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
141 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
51 |
51 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
638 |
574 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
134 |
126 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
756 |
577 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$4K |
| 99000 |
|
112 |
107 |
$1K |
| 99429 |
|
31 |
30 |
$1K |
| 92551 |
|
422 |
405 |
$580.98 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
236 |
235 |
$570.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$387.97 |
| 81002 |
|
12 |
12 |
$27.30 |
| 96160 |
|
200 |
152 |
$19.57 |
| 85018 |
|
52 |
52 |
$4.18 |
| 90688 |
|
65 |
65 |
$0.08 |
| 90686 |
|
205 |
205 |
$0.02 |
| 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) |
635 |
596 |
$0.00 |
| 90461 |
|
419 |
362 |
$0.00 |
| 90700 |
|
192 |
191 |
$0.00 |
| 90707 |
|
63 |
63 |
$0.00 |
| 90671 |
|
190 |
189 |
$0.00 |
| 90633 |
|
100 |
100 |
$0.00 |
| 90648 |
|
189 |
188 |
$0.00 |
| 99173 |
|
295 |
293 |
$0.00 |
| 90713 |
|
144 |
144 |
$0.00 |
| 3210F |
|
20 |
19 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90744 |
|
87 |
87 |
$0.00 |
| 1031F |
|
5,363 |
4,709 |
$0.00 |
| 36416 |
|
171 |
166 |
$0.00 |
| 99174 |
|
114 |
114 |
$0.00 |
| 96161 |
|
165 |
165 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
191 |
187 |
$0.00 |
| 90680 |
|
141 |
141 |
$0.00 |
| 90656 |
|
123 |
123 |
$0.00 |
| 96127 |
|
55 |
49 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90716 |
|
63 |
63 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
14 |
14 |
$0.00 |