| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,127 |
1,946 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
805 |
735 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
866 |
800 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
576 |
533 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
503 |
483 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
375 |
$41K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
273 |
263 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,488 |
952 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
230 |
$8K |
| 90686 |
|
652 |
639 |
$6K |
| 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) |
545 |
476 |
$6K |
| 99188 |
|
273 |
250 |
$5K |
| 99177 |
|
340 |
284 |
$4K |
| 96160 |
|
1,539 |
1,402 |
$4K |
| 99174 |
|
490 |
452 |
$4K |
| 90480 |
|
220 |
208 |
$3K |
| 90672 |
|
260 |
259 |
$3K |
| 0002A |
|
70 |
70 |
$3K |
| 0071A |
|
69 |
69 |
$3K |
| 0072A |
|
67 |
67 |
$3K |
| 96127 |
|
613 |
540 |
$2K |
| 0001A |
|
58 |
58 |
$2K |
| 92551 |
|
222 |
190 |
$2K |
| 90461 |
|
289 |
259 |
$2K |
| 0124A |
|
38 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
101 |
$1K |
| 91319 |
|
28 |
27 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
106 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
44 |
$718.84 |
| 91318 |
|
16 |
16 |
$672.00 |
| 90671 |
|
42 |
42 |
$563.02 |
| 0081A |
|
14 |
13 |
$520.00 |
| 0154A |
|
18 |
13 |
$480.00 |
| 90670 |
|
140 |
139 |
$397.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$396.40 |
| 99173 |
|
150 |
141 |
$374.55 |
| 91320 |
|
16 |
16 |
$280.00 |
| 90698 |
|
100 |
99 |
$269.42 |
| 90734 |
|
13 |
13 |
$184.34 |
| 96161 |
|
76 |
52 |
$145.18 |
| 36415 |
Collection of venous blood by venipuncture |
255 |
222 |
$0.00 |
| 90680 |
|
45 |
45 |
$0.00 |
| 90660 |
|
70 |
70 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| 91321 |
|
22 |
22 |
$0.00 |