| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,381 |
25,137 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,807 |
8,462 |
$811K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,202 |
7,158 |
$692K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,469 |
6,100 |
$600K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,318 |
5,295 |
$543K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,292 |
2,275 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,239 |
6,129 |
$171K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,712 |
10,567 |
$138K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,763 |
6,834 |
$89K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,866 |
5,654 |
$76K |
| 87428 |
|
1,180 |
1,159 |
$64K |
| 99000 |
|
4,897 |
4,767 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
899 |
886 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,548 |
1,514 |
$25K |
| 99381 |
|
225 |
222 |
$23K |
| 90461 |
|
2,348 |
2,108 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
212 |
145 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
102 |
100 |
$9K |
| 90474 |
|
793 |
778 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
474 |
237 |
$8K |
| 99383 |
|
55 |
53 |
$6K |
| 90677 |
|
1,502 |
1,449 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
82 |
81 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$3K |
| 99382 |
|
25 |
25 |
$3K |
| 90651 |
|
413 |
410 |
$1K |
| 90686 |
|
4,829 |
4,777 |
$784.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$753.01 |
| 96380 |
|
31 |
31 |
$538.82 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
107 |
107 |
$448.00 |
| 96381 |
|
27 |
26 |
$399.36 |
| 99421 |
|
254 |
249 |
$191.10 |
| 81003 |
|
13 |
13 |
$29.66 |
| 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) |
156 |
147 |
$0.01 |
| 90670 |
|
3,334 |
3,181 |
$0.00 |
| 90633 |
|
1,286 |
1,277 |
$0.00 |
| 90707 |
|
188 |
188 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90710 |
|
30 |
30 |
$0.00 |
| 91308 |
|
44 |
43 |
$0.00 |
| 90656 |
|
668 |
667 |
$0.00 |
| 90697 |
|
2,120 |
1,957 |
$0.00 |
| 90698 |
|
1,148 |
1,140 |
$0.00 |
| 90680 |
|
2,473 |
2,335 |
$0.00 |
| 90619 |
|
107 |
106 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90744 |
|
221 |
221 |
$0.00 |
| 90716 |
|
182 |
182 |
$0.00 |
| 96127 |
|
47 |
47 |
$0.00 |
| 36416 |
|
100 |
93 |
$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) |
141 |
131 |
$0.00 |
| 91307 |
|
17 |
16 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |