| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,002 |
4,527 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,939 |
2,491 |
$249K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,073 |
2,869 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,521 |
1,463 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
907 |
879 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
773 |
724 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
228 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
310 |
240 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
403 |
355 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
432 |
399 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
489 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
226 |
212 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
15 |
$2K |
| 92552 |
|
57 |
56 |
$1K |
| 87807 |
|
81 |
57 |
$739.94 |
| 90670 |
|
312 |
300 |
$706.12 |
| 99367 |
|
12 |
12 |
$616.22 |
| 90734 |
|
12 |
12 |
$112.93 |
| 36416 |
|
56 |
56 |
$112.62 |
| 95027 |
|
18 |
18 |
$72.90 |
| 90648 |
|
117 |
115 |
$64.59 |
| 85018 |
|
26 |
24 |
$46.80 |
| 90633 |
|
64 |
58 |
$40.28 |
| 90686 |
|
477 |
442 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| 90677 |
|
25 |
24 |
$0.00 |
| 90461 |
|
1,176 |
1,096 |
$0.00 |
| 99177 |
|
541 |
531 |
$0.00 |
| 90685 |
|
61 |
59 |
$0.00 |
| 99173 |
|
16 |
16 |
$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) |
12 |
12 |
$0.00 |