| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,416 |
16,205 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,301 |
4,274 |
$415K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,503 |
3,305 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,531 |
2,414 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,609 |
1,599 |
$164K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,154 |
8,055 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
684 |
677 |
$76K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,931 |
4,831 |
$73K |
| 87428 |
|
686 |
675 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,023 |
3,366 |
$40K |
| 99000 |
|
2,678 |
2,609 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,321 |
1,052 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
796 |
761 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
620 |
311 |
$10K |
| 90474 |
|
876 |
869 |
$9K |
| 99383 |
|
40 |
39 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
45 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 90461 |
|
302 |
285 |
$2K |
| 99382 |
|
15 |
15 |
$2K |
| 0081A |
|
14 |
14 |
$656.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$579.45 |
| 96381 |
|
21 |
20 |
$348.61 |
| 90686 |
|
2,374 |
2,348 |
$296.60 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
26 |
24 |
$112.00 |
| 90670 |
|
2,179 |
2,121 |
$0.04 |
| 90697 |
|
900 |
849 |
$0.01 |
| 90633 |
|
822 |
807 |
$0.00 |
| 90707 |
|
108 |
101 |
$0.00 |
| 91308 |
|
22 |
18 |
$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) |
63 |
60 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90680 |
|
1,372 |
1,333 |
$0.00 |
| 90716 |
|
132 |
127 |
$0.00 |
| 90744 |
|
321 |
320 |
$0.00 |
| 90698 |
|
795 |
789 |
$0.00 |
| 90677 |
|
367 |
362 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90656 |
|
349 |
348 |
$0.00 |
| 90651 |
|
143 |
142 |
$0.00 |
| 90619 |
|
40 |
40 |
$0.00 |
| 90381 |
|
13 |
12 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |