| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,659 |
19,690 |
$1.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,465 |
7,397 |
$712K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,836 |
5,810 |
$595K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,822 |
5,547 |
$533K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,552 |
5,338 |
$511K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,568 |
3,552 |
$397K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,761 |
9,057 |
$225K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,416 |
10,297 |
$137K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,951 |
6,199 |
$92K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,710 |
6,226 |
$83K |
| 87428 |
|
1,464 |
1,435 |
$78K |
| 99000 |
|
4,855 |
4,760 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
630 |
621 |
$33K |
| 90461 |
|
3,704 |
3,260 |
$26K |
| 99381 |
|
238 |
238 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
142 |
$18K |
| 99383 |
|
129 |
129 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
273 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
489 |
245 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
486 |
471 |
$8K |
| 90474 |
|
645 |
636 |
$7K |
| 99384 |
|
42 |
42 |
$5K |
| 99382 |
|
24 |
24 |
$3K |
| 90677 |
|
1,288 |
1,260 |
$2K |
| 0124A |
|
28 |
27 |
$1K |
| 90651 |
|
1,436 |
1,427 |
$1K |
| 90621 |
|
200 |
200 |
$1K |
| 0081A |
|
18 |
12 |
$568.00 |
| 90686 |
|
6,046 |
5,984 |
$525.19 |
| 90473 |
|
24 |
24 |
$215.64 |
| 90633 |
|
1,905 |
1,887 |
$86.96 |
| 90744 |
|
481 |
474 |
$30.41 |
| 90672 |
|
86 |
86 |
$30.38 |
| 90707 |
|
1,549 |
1,535 |
$0.00 |
| 90670 |
|
3,273 |
3,175 |
$0.00 |
| 90734 |
|
371 |
369 |
$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) |
214 |
201 |
$0.00 |
| 90715 |
|
138 |
137 |
$0.00 |
| 91308 |
|
133 |
121 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 91312 |
|
28 |
27 |
$0.00 |
| 91307 |
|
96 |
96 |
$0.00 |
| 90716 |
|
1,633 |
1,614 |
$0.00 |
| 90680 |
|
2,206 |
2,128 |
$0.00 |
| 90619 |
|
283 |
279 |
$0.00 |
| 90697 |
|
1,546 |
1,480 |
$0.00 |
| 90656 |
|
939 |
938 |
$0.00 |
| 90698 |
|
1,818 |
1,802 |
$0.00 |
| 90696 |
|
114 |
113 |
$0.00 |
| 96127 |
|
68 |
68 |
$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) |
28 |
25 |
$0.00 |
| 91305 |
|
45 |
45 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |