| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,469 |
10,623 |
$720K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,895 |
2,863 |
$276K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,027 |
1,950 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,664 |
1,654 |
$169K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,331 |
7,241 |
$94K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,683 |
3,742 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
646 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
470 |
468 |
$52K |
| 87428 |
|
743 |
728 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,169 |
2,221 |
$31K |
| 99000 |
|
1,968 |
1,905 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,284 |
1,242 |
$20K |
| 90474 |
|
851 |
843 |
$10K |
| 99381 |
|
89 |
87 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
58 |
$8K |
| 99383 |
|
47 |
47 |
$6K |
| 99382 |
|
43 |
42 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
93 |
91 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
93 |
$3K |
| 96381 |
|
78 |
77 |
$1K |
| 90480 |
|
43 |
43 |
$900.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
29 |
$528.00 |
| 90651 |
|
187 |
185 |
$293.60 |
| 90686 |
|
2,501 |
2,482 |
$175.29 |
| 94760 |
|
40 |
35 |
$132.25 |
| 90656 |
|
605 |
604 |
$0.00 |
| 90680 |
|
900 |
891 |
$0.00 |
| 90698 |
|
663 |
658 |
$0.00 |
| 90677 |
|
761 |
752 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
45 |
41 |
$0.00 |
| 90697 |
|
346 |
343 |
$0.00 |
| 90744 |
|
83 |
82 |
$0.00 |
| 90381 |
|
42 |
42 |
$0.00 |
| 91307 |
|
55 |
54 |
$0.00 |
| 36416 |
|
45 |
41 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
19 |
18 |
$0.00 |
| 90670 |
|
803 |
793 |
$0.00 |
| 90633 |
|
427 |
420 |
$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) |
79 |
71 |
$0.00 |
| 90710 |
|
205 |
200 |
$0.00 |
| 90380 |
|
27 |
27 |
$0.00 |
| 91308 |
|
39 |
34 |
$0.00 |
| 90734 |
|
20 |
19 |
$0.00 |