| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,825 |
3,276 |
$207K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
587 |
580 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
513 |
498 |
$44K |
| 87428 |
|
640 |
617 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,784 |
895 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,073 |
723 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
768 |
750 |
$11K |
| 99000 |
|
1,215 |
1,095 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
125 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
518 |
480 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
675 |
488 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
62 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
85 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90474 |
|
108 |
105 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$863.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
24 |
$704.74 |
| 90461 |
|
300 |
257 |
$307.88 |
| 81002 |
|
71 |
69 |
$215.86 |
| 96381 |
|
13 |
13 |
$205.22 |
| 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) |
104 |
94 |
$0.83 |
| 90633 |
|
56 |
53 |
$0.00 |
| 90670 |
|
255 |
245 |
$0.00 |
| 91308 |
|
32 |
29 |
$0.00 |
| 90686 |
|
529 |
518 |
$0.00 |
| 90697 |
|
175 |
170 |
$0.00 |
| 90656 |
|
162 |
162 |
$0.00 |
| 90677 |
|
166 |
159 |
$0.00 |
| 90680 |
|
110 |
108 |
$0.00 |