| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,261 |
34,311 |
$2.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,312 |
9,246 |
$892K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,544 |
8,494 |
$868K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,569 |
8,838 |
$854K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,535 |
8,016 |
$780K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34,944 |
16,399 |
$474K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,220 |
4,203 |
$471K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,812 |
7,702 |
$105K |
| 87428 |
|
1,491 |
1,474 |
$81K |
| 69210 |
|
1,700 |
1,646 |
$74K |
| 99381 |
|
717 |
706 |
$71K |
| 99000 |
|
6,075 |
5,988 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,942 |
4,894 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,680 |
2,645 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,143 |
3,070 |
$40K |
| 90461 |
|
7,950 |
6,556 |
$34K |
| 99383 |
|
227 |
227 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,385 |
687 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
575 |
564 |
$23K |
| 17250 |
|
248 |
201 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
210 |
204 |
$11K |
| 99382 |
|
82 |
82 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
87 |
87 |
$9K |
| 90474 |
|
745 |
734 |
$7K |
| 99384 |
|
45 |
45 |
$6K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
806 |
722 |
$6K |
| 90677 |
|
1,941 |
1,893 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 96381 |
|
89 |
67 |
$1K |
| 0072A |
|
15 |
15 |
$720.00 |
| 0081A |
|
25 |
14 |
$664.00 |
| 90651 |
|
2,343 |
2,331 |
$587.20 |
| 90686 |
|
6,804 |
6,737 |
$324.37 |
| 90380 |
|
20 |
12 |
$240.00 |
| 90734 |
|
295 |
294 |
$168.35 |
| 81003 |
|
42 |
42 |
$91.14 |
| 92551 |
|
34 |
34 |
$82.46 |
| 94664 |
|
60 |
58 |
$29.80 |
| 90619 |
|
940 |
911 |
$0.40 |
| 90715 |
|
331 |
329 |
$0.01 |
| 90707 |
|
567 |
562 |
$0.00 |
| 90670 |
|
4,454 |
4,328 |
$0.00 |
| 90633 |
|
3,117 |
3,098 |
$0.00 |
| 90648 |
|
880 |
870 |
$0.00 |
| 90621 |
|
174 |
173 |
$0.00 |
| 91308 |
|
49 |
44 |
$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) |
325 |
295 |
$0.00 |
| 90710 |
|
609 |
601 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 99173 |
|
31 |
31 |
$0.00 |
| 90697 |
|
2,886 |
2,784 |
$0.00 |
| 90696 |
|
533 |
527 |
$0.00 |
| 90680 |
|
4,196 |
4,042 |
$0.00 |
| 90716 |
|
652 |
647 |
$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) |
206 |
200 |
$0.00 |
| 90698 |
|
1,252 |
1,244 |
$0.00 |
| 90723 |
|
864 |
854 |
$0.00 |
| 36416 |
|
193 |
188 |
$0.00 |
| 90656 |
|
1,155 |
1,153 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| 96127 |
|
71 |
71 |
$0.00 |
| 91307 |
|
113 |
104 |
$0.00 |
| 90381 |
|
35 |
27 |
$0.00 |