| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,023 |
11,399 |
$802K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,956 |
3,923 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,045 |
3,903 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,924 |
3,894 |
$376K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,541 |
2,521 |
$283K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,986 |
2,823 |
$274K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,583 |
9,242 |
$251K |
| 87428 |
|
1,741 |
1,696 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,686 |
1,648 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,631 |
3,273 |
$42K |
| 99215 |
Prolong outpt/office vis |
312 |
297 |
$36K |
| 99000 |
|
2,579 |
2,508 |
$29K |
| 90461 |
|
4,099 |
3,406 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,369 |
1,365 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
314 |
307 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
944 |
925 |
$15K |
| 90480 |
|
141 |
135 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
108 |
94 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
77 |
$2K |
| 99051 |
|
247 |
247 |
$2K |
| 0054A |
|
28 |
28 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 69210 |
|
26 |
24 |
$1K |
| 96167 |
|
15 |
15 |
$931.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
352 |
90 |
$794.07 |
| 96381 |
|
47 |
46 |
$773.61 |
| 0154A |
|
14 |
14 |
$672.00 |
| 0081A |
|
22 |
14 |
$656.00 |
| 0071A |
|
13 |
13 |
$624.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
31 |
$549.44 |
| 90651 |
|
1,263 |
1,253 |
$293.61 |
| 90686 |
|
4,377 |
4,328 |
$221.63 |
| 69209 |
|
13 |
12 |
$163.02 |
| 90621 |
|
200 |
197 |
$128.68 |
| 81002 |
|
25 |
25 |
$84.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
189 |
180 |
$56.00 |
| 81003 |
|
12 |
12 |
$26.86 |
| 90688 |
|
76 |
73 |
$20.16 |
| 94760 |
|
48 |
47 |
$7.05 |
| 90619 |
|
321 |
321 |
$0.03 |
| 90697 |
|
724 |
703 |
$0.00 |
| 90656 |
|
538 |
534 |
$0.00 |
| 90698 |
|
576 |
572 |
$0.00 |
| 90680 |
|
1,052 |
1,007 |
$0.00 |
| 90677 |
|
695 |
676 |
$0.00 |
| 90744 |
|
134 |
134 |
$0.00 |
| 90696 |
|
32 |
32 |
$0.00 |
| 91307 |
|
152 |
136 |
$0.00 |
| 96127 |
|
51 |
45 |
$0.00 |
| 90381 |
|
16 |
16 |
$0.00 |
| 91305 |
|
46 |
43 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90633 |
|
663 |
663 |
$0.00 |
| 91312 |
|
24 |
24 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 90734 |
|
170 |
167 |
$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) |
183 |
176 |
$0.00 |
| 90670 |
|
1,680 |
1,640 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 91308 |
|
49 |
42 |
$0.00 |
| 90715 |
|
80 |
80 |
$0.00 |
| 90710 |
|
48 |
48 |
$0.00 |