| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,204 |
4,315 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,202 |
2,761 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
723 |
703 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
642 |
620 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,227 |
1,645 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,268 |
1,180 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
182 |
$15K |
| 99000 |
|
1,330 |
1,231 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
126 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
180 |
175 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
251 |
236 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
214 |
$5K |
| 99429 |
|
156 |
153 |
$5K |
| 99050 |
|
265 |
251 |
$4K |
| 90461 |
|
689 |
592 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
434 |
364 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
256 |
256 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
271 |
$966.44 |
| 90686 |
|
1,030 |
1,012 |
$53.04 |
| 90656 |
|
102 |
102 |
$1.00 |
| 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) |
44 |
43 |
$0.03 |
| 90670 |
|
105 |
105 |
$0.00 |
| 90671 |
|
16 |
14 |
$0.00 |
| 90698 |
|
109 |
107 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |