| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,882 |
9,065 |
$638K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,084 |
1,990 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,841 |
1,835 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
771 |
769 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,916 |
1,763 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,498 |
3,469 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
467 |
$46K |
| 87428 |
|
678 |
654 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,573 |
1,959 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
509 |
495 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
219 |
$25K |
| 99000 |
|
1,734 |
1,686 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,932 |
1,368 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
414 |
412 |
$7K |
| 90461 |
|
450 |
406 |
$2K |
| 90474 |
|
172 |
169 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 90686 |
|
1,861 |
1,846 |
$131.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$102.82 |
| 90670 |
|
1,081 |
1,047 |
$0.01 |
| 90633 |
|
213 |
213 |
$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) |
69 |
62 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90677 |
|
430 |
426 |
$0.00 |
| 90680 |
|
676 |
656 |
$0.00 |
| 90697 |
|
646 |
636 |
$0.00 |
| 90651 |
|
70 |
66 |
$0.00 |
| 90656 |
|
340 |
339 |
$0.00 |
| 90698 |
|
101 |
101 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |