| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,888 |
4,375 |
$273K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,852 |
1,629 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
243 |
237 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
122 |
$9K |
| 90686 |
|
771 |
716 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
96 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
156 |
143 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
296 |
274 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
64 |
$2K |
| 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) |
149 |
139 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
123 |
$1K |
| 90656 |
|
82 |
80 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
287 |
263 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
46 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
131 |
$1K |
| 87428 |
|
31 |
30 |
$1K |
| 0072A |
|
28 |
20 |
$778.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$690.75 |
| 0071A |
|
33 |
20 |
$658.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
114 |
$259.09 |
| 96127 |
|
50 |
41 |
$233.06 |
| 99177 |
|
41 |
39 |
$152.48 |
| 99000 |
|
159 |
146 |
$133.46 |
| 90461 |
|
14 |
13 |
$65.40 |
| 91307 |
|
87 |
60 |
$0.25 |