| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,829 |
11,999 |
$808K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,639 |
2,623 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,366 |
2,217 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,217 |
2,078 |
$204K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,202 |
6,142 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
701 |
697 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
769 |
764 |
$78K |
| 87428 |
|
877 |
838 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,537 |
2,814 |
$48K |
| 99000 |
|
2,333 |
2,228 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,162 |
929 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,993 |
1,898 |
$20K |
| 90474 |
|
574 |
565 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
364 |
$6K |
| 99381 |
|
26 |
26 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 90461 |
|
249 |
201 |
$2K |
| 90480 |
|
59 |
57 |
$2K |
| 0054A |
|
29 |
29 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
26 |
$1K |
| 0124A |
|
14 |
14 |
$648.00 |
| 90686 |
|
3,549 |
3,503 |
$498.07 |
| 96381 |
|
17 |
17 |
$294.30 |
| 90651 |
|
105 |
105 |
$293.60 |
| 90734 |
|
15 |
15 |
$173.38 |
| 92551 |
|
29 |
29 |
$96.96 |
| 90670 |
|
1,219 |
1,188 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90633 |
|
370 |
367 |
$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) |
122 |
115 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90621 |
|
23 |
23 |
$0.00 |
| 91308 |
|
29 |
27 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| 90680 |
|
929 |
898 |
$0.00 |
| 90697 |
|
454 |
435 |
$0.00 |
| 90698 |
|
645 |
635 |
$0.00 |
| 90744 |
|
148 |
143 |
$0.00 |
| 90677 |
|
481 |
475 |
$0.00 |
| 90656 |
|
585 |
584 |
$0.00 |
| 91305 |
|
74 |
73 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 91307 |
|
30 |
30 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |