| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,008 |
11,256 |
$756K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,576 |
3,355 |
$303K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,107 |
3,073 |
$296K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,760 |
2,562 |
$252K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,392 |
1,375 |
$141K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,231 |
6,133 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,301 |
2,837 |
$45K |
| 99000 |
|
3,774 |
3,509 |
$43K |
| 87428 |
|
609 |
597 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,979 |
1,437 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,181 |
2,114 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
231 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,462 |
1,945 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
121 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
239 |
120 |
$4K |
| 90474 |
|
332 |
326 |
$3K |
| 90461 |
|
176 |
148 |
$1K |
| 96381 |
|
30 |
29 |
$484.61 |
| 96380 |
|
17 |
16 |
$306.73 |
| 90677 |
|
421 |
413 |
$304.72 |
| 90670 |
|
1,141 |
1,102 |
$260.18 |
| 90686 |
|
2,275 |
2,244 |
$221.79 |
| 90688 |
|
538 |
530 |
$28.04 |
| 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) |
194 |
186 |
$0.00 |
| 90633 |
|
159 |
156 |
$0.00 |
| 91308 |
|
32 |
29 |
$0.00 |
| 90656 |
|
496 |
495 |
$0.00 |
| 90698 |
|
404 |
402 |
$0.00 |
| 90680 |
|
630 |
603 |
$0.00 |
| 90697 |
|
408 |
383 |
$0.00 |
| 90651 |
|
54 |
54 |
$0.00 |
| 91307 |
|
42 |
33 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |