| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,490 |
27,108 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,129 |
11,063 |
$1.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,015 |
9,432 |
$914K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,202 |
8,808 |
$862K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,543 |
6,510 |
$673K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,830 |
10,457 |
$298K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,613 |
2,606 |
$294K |
| 87428 |
|
3,208 |
3,140 |
$212K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,551 |
15,431 |
$205K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,176 |
10,472 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,086 |
8,909 |
$117K |
| 99000 |
|
8,107 |
7,814 |
$89K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,029 |
2,966 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,064 |
1,040 |
$47K |
| 90461 |
|
3,643 |
3,364 |
$19K |
| 90474 |
|
1,557 |
1,535 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
216 |
$11K |
| 99381 |
|
110 |
103 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
425 |
214 |
$7K |
| 0081A |
|
136 |
103 |
$5K |
| 99383 |
|
29 |
29 |
$3K |
| 90480 |
|
117 |
117 |
$3K |
| 90677 |
|
2,265 |
2,219 |
$3K |
| 83655 |
|
236 |
234 |
$3K |
| 99051 |
|
168 |
167 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 0082A |
|
25 |
25 |
$1K |
| 0124A |
|
13 |
13 |
$608.00 |
| 90686 |
|
9,321 |
9,238 |
$591.95 |
| 0154A |
|
13 |
12 |
$520.00 |
| 96381 |
|
29 |
29 |
$504.48 |
| 96380 |
|
26 |
25 |
$436.82 |
| 90651 |
|
1,014 |
1,006 |
$293.61 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
211 |
202 |
$280.00 |
| 90670 |
|
5,558 |
5,436 |
$250.26 |
| 81003 |
|
12 |
12 |
$27.24 |
| 90698 |
|
2,750 |
2,733 |
$0.00 |
| 90680 |
|
4,189 |
4,092 |
$0.00 |
| 90619 |
|
154 |
153 |
$0.00 |
| 90697 |
|
2,739 |
2,676 |
$0.00 |
| 90744 |
|
844 |
833 |
$0.00 |
| 90716 |
|
270 |
265 |
$0.00 |
| 91307 |
|
225 |
221 |
$0.00 |
| 90656 |
|
1,756 |
1,755 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
57 |
52 |
$0.00 |
| 90381 |
|
47 |
45 |
$0.00 |
| 96127 |
|
29 |
29 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 91305 |
|
39 |
39 |
$0.00 |
| 36416 |
|
85 |
76 |
$0.00 |
| 91315 |
|
13 |
12 |
$0.00 |
| 90696 |
|
57 |
57 |
$0.00 |
| A4620 |
Variable concentration mask |
12 |
12 |
$0.00 |
| 90633 |
|
2,637 |
2,620 |
$0.00 |
| 91308 |
|
413 |
372 |
$0.00 |
| 90734 |
|
65 |
64 |
$0.00 |
| 90707 |
|
274 |
269 |
$0.00 |
| 90700 |
|
36 |
36 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 90710 |
|
135 |
135 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |
| 90380 |
|
32 |
24 |
$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) |
45 |
44 |
$0.00 |
| 90621 |
|
39 |
39 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |