| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,388 |
10,172 |
$449K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,365 |
4,230 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,369 |
1,346 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,302 |
1,283 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
753 |
744 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
675 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,579 |
1,544 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
416 |
389 |
$19K |
| 90461 |
|
1,062 |
1,022 |
$17K |
| 99173 |
|
2,712 |
2,663 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
434 |
431 |
$5K |
| 90651 |
|
79 |
74 |
$5K |
| 99401 |
|
425 |
422 |
$5K |
| 90686 |
|
735 |
719 |
$5K |
| 90734 |
|
113 |
111 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
188 |
188 |
$2K |
| 90670 |
|
69 |
68 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
233 |
213 |
$1K |
| 97802 |
|
1,003 |
955 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$949.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
89 |
$941.67 |
| 90716 |
|
14 |
14 |
$462.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
37 |
$401.52 |
| 90715 |
|
13 |
12 |
$209.64 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
463 |
425 |
$172.23 |
| 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) |
32 |
30 |
$96.70 |
| 90633 |
|
12 |
12 |
$0.00 |