| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,668 |
11,097 |
$749K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,201 |
5,157 |
$496K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,025 |
4,667 |
$459K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,211 |
4,176 |
$425K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,173 |
3,165 |
$351K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,147 |
5,888 |
$245K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,057 |
6,348 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
750 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,356 |
5,300 |
$68K |
| 99000 |
|
5,523 |
5,349 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,173 |
4,407 |
$58K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,256 |
3,467 |
$51K |
| 99381 |
|
461 |
460 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,558 |
2,513 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
615 |
610 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,771 |
876 |
$29K |
| 90461 |
|
3,322 |
2,592 |
$17K |
| 87428 |
|
269 |
261 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
134 |
128 |
$13K |
| 90474 |
|
1,085 |
1,061 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
114 |
$8K |
| 97169 |
|
104 |
103 |
$3K |
| 90621 |
|
296 |
294 |
$2K |
| 96381 |
|
74 |
60 |
$1K |
| 90651 |
|
1,107 |
1,094 |
$880.85 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
16 |
$763.62 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
166 |
160 |
$672.00 |
| 90677 |
|
991 |
953 |
$609.44 |
| 90734 |
|
291 |
289 |
$520.14 |
| 90686 |
|
3,074 |
3,023 |
$458.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$219.64 |
| 90619 |
|
459 |
435 |
$173.60 |
| 90633 |
|
1,740 |
1,713 |
$44.75 |
| 81003 |
|
14 |
12 |
$27.24 |
| A4620 |
Variable concentration mask |
67 |
67 |
$14.06 |
| 94760 |
|
16 |
15 |
$4.70 |
| 90697 |
|
1,507 |
1,390 |
$0.03 |
| 90744 |
|
631 |
618 |
$0.00 |
| 90698 |
|
1,469 |
1,452 |
$0.00 |
| 90680 |
|
2,292 |
2,165 |
$0.00 |
| 90716 |
|
302 |
298 |
$0.00 |
| 36416 |
|
253 |
225 |
$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) |
191 |
188 |
$0.00 |
| 90696 |
|
137 |
137 |
$0.00 |
| 90723 |
|
77 |
77 |
$0.00 |
| 91307 |
|
25 |
25 |
$0.00 |
| 90656 |
|
264 |
264 |
$0.00 |
| 96127 |
|
44 |
43 |
$0.00 |
| 90381 |
|
28 |
24 |
$0.00 |
| 90670 |
|
2,727 |
2,615 |
$0.00 |
| 90648 |
|
100 |
100 |
$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) |
215 |
202 |
$0.00 |
| 90707 |
|
314 |
311 |
$0.00 |
| 90710 |
|
206 |
205 |
$0.00 |
| 90715 |
|
200 |
197 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |