| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,143 |
8,702 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,523 |
2,444 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,122 |
1,844 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,245 |
15,260 |
$110K |
| 87428 |
|
1,392 |
1,300 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
827 |
802 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,656 |
5,065 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
750 |
717 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
232 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,820 |
1,771 |
$21K |
| 90461 |
|
3,262 |
2,749 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
317 |
304 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,367 |
1,267 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
211 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
317 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
899 |
409 |
$2K |
| 92551 |
|
3,190 |
3,078 |
$569.02 |
| S8301 |
Infection control supplies, not otherwise specified |
175 |
168 |
$540.37 |
| 99051 |
|
142 |
134 |
$416.73 |
| 96160 |
|
165 |
117 |
$286.30 |
| 87807 |
|
66 |
64 |
$108.90 |
| 92567 |
|
12 |
12 |
$29.64 |
| 90686 |
|
3,319 |
3,175 |
$20.26 |
| 99173 |
|
3,238 |
3,109 |
$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) |
2,073 |
1,893 |
$0.00 |
| 90670 |
|
811 |
784 |
$0.00 |
| 90633 |
|
72 |
70 |
$0.00 |
| 90671 |
|
70 |
69 |
$0.00 |
| 99177 |
|
30 |
26 |
$0.00 |
| 90698 |
|
987 |
960 |
$0.00 |
| 90744 |
|
76 |
74 |
$0.00 |
| 90656 |
|
370 |
367 |
$0.00 |
| 90680 |
|
284 |
273 |
$0.00 |
| 96127 |
|
299 |
208 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |