| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,458 |
1,088 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
519 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
509 |
371 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
366 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,334 |
983 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
817 |
538 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
73 |
62 |
$8K |
| 96160 |
|
1,755 |
1,237 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
131 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
478 |
386 |
$3K |
| 83655 |
|
333 |
272 |
$3K |
| 96127 |
|
855 |
571 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
24 |
$2K |
| 36416 |
|
691 |
538 |
$2K |
| 90474 |
|
218 |
152 |
$2K |
| 90670 |
|
385 |
266 |
$1K |
| 96161 |
|
508 |
350 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
63 |
$944.55 |
| 99381 |
|
23 |
14 |
$876.35 |
| 99188 |
|
129 |
100 |
$838.91 |
| 90744 |
|
117 |
71 |
$830.68 |
| 99177 |
|
212 |
164 |
$564.92 |
| 92551 |
|
118 |
95 |
$502.21 |
| 90686 |
|
230 |
164 |
$446.56 |
| 85018 |
|
263 |
222 |
$446.18 |
| 90480 |
|
53 |
29 |
$365.80 |
| 90698 |
|
304 |
201 |
$332.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$282.64 |
| 90680 |
|
255 |
173 |
$194.12 |
| 99000 |
|
16 |
16 |
$42.48 |
| 99173 |
|
32 |
27 |
$36.82 |
| 88720 |
|
22 |
13 |
$22.56 |
| 90688 |
|
146 |
116 |
$19.91 |
| 99072 |
|
470 |
220 |
$6.00 |
| 90716 |
|
13 |
12 |
$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) |
86 |
63 |
$0.00 |
| 91321 |
|
16 |
12 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90672 |
|
23 |
15 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |