| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,816 |
5,335 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
1,198 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
1,026 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
581 |
556 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,443 |
3,377 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
248 |
247 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,090 |
1,288 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,067 |
763 |
$10K |
| 99000 |
|
619 |
602 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
124 |
$4K |
| 87428 |
|
51 |
46 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
55 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
112 |
$2K |
| 90474 |
|
56 |
54 |
$554.18 |
| 96381 |
|
12 |
12 |
$206.87 |
| 90686 |
|
1,049 |
1,037 |
$131.63 |
| 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) |
46 |
44 |
$0.00 |
| 90670 |
|
220 |
210 |
$0.00 |
| 91308 |
|
13 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90677 |
|
162 |
160 |
$0.00 |
| 90680 |
|
56 |
54 |
$0.00 |
| 90656 |
|
280 |
279 |
$0.00 |
| 90744 |
|
16 |
15 |
$0.00 |
| 90697 |
|
54 |
52 |
$0.00 |
| 90698 |
|
44 |
42 |
$0.00 |