| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,276 |
6,602 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,922 |
2,650 |
$193K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
727 |
714 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,937 |
3,735 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
492 |
482 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
460 |
450 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,920 |
1,822 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
437 |
374 |
$36K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
91 |
85 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
197 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
71 |
67 |
$2K |
| 90474 |
|
63 |
63 |
$778.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
52 |
$609.17 |
| 90670 |
|
187 |
181 |
$574.19 |
| 96127 |
|
145 |
135 |
$539.17 |
| 90686 |
|
1,122 |
1,077 |
$323.39 |
| 92551 |
|
27 |
27 |
$184.38 |
| 90698 |
|
51 |
51 |
$93.28 |
| 96161 |
|
58 |
50 |
$88.82 |
| 90680 |
|
64 |
64 |
$86.25 |
| 81003 |
|
15 |
15 |
$36.01 |
| 90633 |
|
73 |
69 |
$33.74 |
| 99051 |
|
630 |
561 |
$11.25 |
| 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) |
13 |
12 |
$0.00 |
| 90671 |
|
46 |
41 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90697 |
|
55 |
54 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
15 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |