| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,896 |
6,909 |
$738K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,039 |
6,294 |
$452K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,560 |
1,539 |
$151K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,575 |
1,477 |
$139K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,081 |
3,993 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,103 |
1,087 |
$107K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,886 |
1,784 |
$85K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,533 |
1,682 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
256 |
$28K |
| 90461 |
|
1,331 |
1,290 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,831 |
1,727 |
$23K |
| 99188 |
|
566 |
560 |
$9K |
| 87807 |
|
432 |
405 |
$4K |
| 96127 |
|
542 |
518 |
$4K |
| 85018 |
|
1,110 |
1,094 |
$2K |
| 90677 |
|
91 |
89 |
$2K |
| 90671 |
|
174 |
172 |
$1K |
| 83655 |
|
91 |
91 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
85 |
$622.25 |
| 99050 |
|
52 |
52 |
$588.00 |
| 81002 |
|
150 |
142 |
$398.19 |
| 90697 |
|
172 |
171 |
$330.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
18 |
$262.28 |
| 92552 |
|
27 |
26 |
$261.00 |
| 82465 |
|
31 |
31 |
$109.62 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$52.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$41.46 |
| 90656 |
|
52 |
52 |
$38.58 |
| 90670 |
|
396 |
391 |
$0.00 |
| 90633 |
|
196 |
194 |
$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) |
70 |
58 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90680 |
|
259 |
257 |
$0.00 |
| 90686 |
|
739 |
730 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| 90723 |
|
80 |
78 |
$0.00 |
| 90647 |
|
84 |
84 |
$0.00 |
| 99000 |
|
27 |
26 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |