| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,425 |
1,178 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
808 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
178 |
$18K |
| 92587 |
|
515 |
482 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
126 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
95 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
531 |
495 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
151 |
131 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
439 |
362 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
372 |
359 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
222 |
204 |
$4K |
| 99173 |
|
545 |
511 |
$2K |
| 85018 |
|
672 |
632 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
70 |
$2K |
| 96127 |
|
388 |
364 |
$2K |
| 0001A |
|
18 |
13 |
$1K |
| 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) |
293 |
268 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
26 |
$648.22 |
| 90473 |
|
46 |
35 |
$459.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
26 |
$244.32 |
| 90474 |
|
13 |
13 |
$180.05 |
| 90656 |
|
104 |
104 |
$20.08 |
| 90660 |
|
34 |
34 |
$7.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
26 |
$1.02 |
| 91300 |
|
24 |
15 |
$0.00 |
| 90672 |
|
31 |
21 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |