| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,740 |
10,096 |
$638K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,135 |
1,986 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,742 |
1,736 |
$167K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,216 |
6,110 |
$81K |
| 87428 |
|
797 |
780 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,317 |
2,707 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
420 |
418 |
$43K |
| 99381 |
|
193 |
180 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,915 |
1,376 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
96 |
$11K |
| 90474 |
|
785 |
779 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
165 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
383 |
$6K |
| 99000 |
|
459 |
438 |
$5K |
| 99383 |
|
31 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
47 |
$2K |
| 96380 |
|
40 |
31 |
$573.77 |
| 90686 |
|
1,684 |
1,665 |
$239.45 |
| 90677 |
|
789 |
784 |
$0.00 |
| 90680 |
|
797 |
791 |
$0.00 |
| 90697 |
|
636 |
629 |
$0.00 |
| 90656 |
|
399 |
398 |
$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) |
148 |
136 |
$0.00 |
| 90698 |
|
384 |
384 |
$0.00 |
| 90716 |
|
61 |
61 |
$0.00 |
| 36416 |
|
146 |
134 |
$0.00 |
| 90744 |
|
134 |
134 |
$0.00 |
| 90688 |
|
55 |
54 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| 90670 |
|
458 |
455 |
$0.00 |
| 90633 |
|
214 |
213 |
$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) |
106 |
100 |
$0.00 |
| 90707 |
|
49 |
49 |
$0.00 |
| 90380 |
|
29 |
21 |
$0.00 |