| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,064 |
7,373 |
$472K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,461 |
1,438 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
913 |
856 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
540 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,499 |
1,783 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,602 |
2,570 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
217 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,763 |
1,199 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,378 |
1,044 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
238 |
171 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
165 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$7K |
| 87428 |
|
52 |
52 |
$4K |
| 99000 |
|
324 |
321 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
41 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
101 |
$3K |
| 90480 |
|
98 |
95 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
104 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 90461 |
|
465 |
365 |
$1K |
| 0054A |
|
15 |
15 |
$720.00 |
| 0154A |
|
12 |
12 |
$520.00 |
| 90670 |
|
446 |
415 |
$502.81 |
| 90474 |
|
36 |
36 |
$369.87 |
| 90651 |
|
91 |
91 |
$293.60 |
| 90686 |
|
1,600 |
1,563 |
$21.52 |
| 94760 |
|
28 |
25 |
$8.10 |
| 90633 |
|
87 |
83 |
$0.00 |
| 91308 |
|
33 |
31 |
$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) |
14 |
13 |
$0.00 |
| 90656 |
|
348 |
348 |
$0.00 |
| 90680 |
|
144 |
120 |
$0.00 |
| 90698 |
|
132 |
128 |
$0.00 |
| 90677 |
|
134 |
132 |
$0.00 |
| 90697 |
|
113 |
103 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |