| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,529 |
5,149 |
$355K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,133 |
3,008 |
$289K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,042 |
1,023 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
148 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$10K |
| 92081 |
|
320 |
320 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
321 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$4K |
| 90688 |
|
158 |
158 |
$3K |
| 90756 |
|
102 |
102 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
33 |
$3K |
| 87070 |
|
295 |
287 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 92551 |
|
220 |
220 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$576.84 |
| 0134A |
|
16 |
16 |
$570.80 |
| 0072A |
|
13 |
13 |
$520.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$202.98 |
| 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) |
14 |
13 |
$182.13 |
| 81002 |
|
29 |
28 |
$87.25 |
| 91313 |
|
13 |
13 |
$0.09 |