| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,803 |
2,434 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
854 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
621 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,562 |
1,455 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
411 |
$33K |
| 87428 |
|
461 |
440 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
142 |
$11K |
| 99000 |
|
1,005 |
866 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
373 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
419 |
317 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
59 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
94 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| 90461 |
|
762 |
658 |
$822.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$808.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
65 |
$767.24 |
| 96381 |
|
13 |
13 |
$205.22 |
| 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) |
92 |
84 |
$0.26 |
| 90680 |
|
67 |
67 |
$0.00 |
| 90686 |
|
457 |
453 |
$0.00 |
| 90677 |
|
106 |
105 |
$0.00 |
| 90697 |
|
169 |
165 |
$0.00 |
| 90656 |
|
100 |
98 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90670 |
|
243 |
234 |
$0.00 |