| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,884 |
11,303 |
$753K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,283 |
4,255 |
$413K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,357 |
3,181 |
$314K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,671 |
1,665 |
$171K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,605 |
10,487 |
$142K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,641 |
5,871 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
574 |
545 |
$55K |
| 87428 |
|
886 |
867 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,801 |
3,440 |
$47K |
| 99000 |
|
2,829 |
2,789 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,216 |
1,182 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
148 |
$16K |
| 90474 |
|
1,042 |
1,029 |
$11K |
| 99381 |
|
52 |
50 |
$5K |
| 99383 |
|
36 |
36 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
62 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 90677 |
|
902 |
880 |
$304.72 |
| 90686 |
|
2,730 |
2,704 |
$174.06 |
| 99421 |
|
40 |
38 |
$18.20 |
| 90697 |
|
351 |
342 |
$0.00 |
| 90680 |
|
1,047 |
1,034 |
$0.00 |
| 90651 |
|
100 |
100 |
$0.00 |
| 90698 |
|
774 |
773 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90656 |
|
524 |
524 |
$0.00 |
| 90744 |
|
179 |
179 |
$0.00 |
| 90716 |
|
50 |
50 |
$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) |
47 |
44 |
$0.00 |
| 90670 |
|
1,930 |
1,922 |
$0.00 |
| 90633 |
|
406 |
401 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |