| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,155 |
8,480 |
$569K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,897 |
1,777 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,605 |
1,588 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
788 |
738 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,055 |
1,461 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,022 |
2,977 |
$43K |
| 99000 |
|
3,083 |
2,975 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
230 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,956 |
1,573 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,855 |
1,302 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$8K |
| 87428 |
|
156 |
151 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
185 |
$3K |
| 90474 |
|
110 |
109 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$755.39 |
| 90677 |
|
431 |
418 |
$304.72 |
| 90461 |
|
140 |
130 |
$181.82 |
| 90686 |
|
1,067 |
1,061 |
$113.62 |
| 90688 |
|
39 |
36 |
$21.67 |
| 90670 |
|
660 |
653 |
$0.00 |
| 90633 |
|
93 |
91 |
$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) |
94 |
88 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 90697 |
|
524 |
504 |
$0.00 |
| 90680 |
|
412 |
392 |
$0.00 |
| 90656 |
|
313 |
312 |
$0.00 |
| 36416 |
|
17 |
12 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |