| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,821 |
8,991 |
$565K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,111 |
2,780 |
$250K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
986 |
876 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,166 |
2,964 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
477 |
453 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
600 |
566 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
460 |
412 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
132 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$5K |
| 96127 |
|
1,217 |
996 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
169 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
102 |
$1K |
| 90686 |
|
477 |
464 |
$894.11 |
| 99177 |
|
286 |
272 |
$766.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
40 |
$358.16 |
| 90688 |
|
16 |
16 |
$189.24 |
| 96161 |
|
72 |
65 |
$96.11 |
| 90656 |
|
84 |
82 |
$61.87 |
| 87999 |
|
660 |
497 |
$45.00 |
| 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) |
1,348 |
1,263 |
$0.00 |
| 99051 |
|
361 |
337 |
$0.00 |
| 90648 |
|
146 |
142 |
$0.00 |
| 90670 |
|
92 |
91 |
$0.00 |
| 91307 |
|
22 |
12 |
$0.00 |
| 90677 |
|
50 |
50 |
$0.00 |