| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,781 |
13,964 |
$998K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,704 |
6,663 |
$209K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,045 |
1,045 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,015 |
1,015 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
439 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
280 |
$28K |
| 92551 |
|
2,693 |
2,693 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
179 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
290 |
285 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
477 |
407 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,031 |
1,014 |
$9K |
| 99173 |
|
2,952 |
2,952 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
350 |
350 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
294 |
$5K |
| 99050 |
|
216 |
213 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$2K |
| 96160 |
|
566 |
566 |
$1K |
| 99441 |
|
79 |
77 |
$1K |
| 0072A |
|
15 |
15 |
$600.00 |
| 87807 |
|
50 |
50 |
$560.22 |
| 99442 |
|
13 |
13 |
$505.71 |
| 99188 |
|
27 |
27 |
$404.00 |
| 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) |
30 |
30 |
$360.00 |
| 85018 |
|
72 |
72 |
$172.13 |
| 99051 |
|
12 |
12 |
$116.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$88.44 |
| 90686 |
|
39 |
39 |
$0.00 |