| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,333 |
8,726 |
$555K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,187 |
3,987 |
$161K |
| 99605 |
|
448 |
428 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
391 |
378 |
$15K |
| 99607 |
|
406 |
369 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
311 |
298 |
$5K |
| 99606 |
|
145 |
113 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
52 |
$3K |
| 90461 |
|
128 |
123 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
38 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$938.20 |
| 99442 |
|
24 |
22 |
$926.87 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
68 |
68 |
$814.94 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
14 |
$686.40 |
| 92551 |
|
82 |
82 |
$673.58 |
| 96127 |
|
83 |
79 |
$587.72 |
| 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) |
312 |
290 |
$271.96 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16 |
14 |
$205.94 |
| 99173 |
|
86 |
86 |
$148.36 |
| 90686 |
|
368 |
347 |
$147.28 |
| 90656 |
|
15 |
15 |
$21.21 |
| 90685 |
|
18 |
16 |
$0.00 |
| X5622 |
|
39 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |