| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,956 |
3,638 |
$204K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,105 |
1,094 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
776 |
729 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
632 |
626 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,063 |
2,265 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
805 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
189 |
$19K |
| 87428 |
|
253 |
250 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,122 |
813 |
$10K |
| 90461 |
|
1,398 |
1,140 |
$8K |
| 99000 |
|
681 |
659 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
50 |
$3K |
| 90480 |
|
74 |
56 |
$2K |
| 99384 |
|
17 |
17 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
62 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
124 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
51 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
55 |
$837.53 |
| 90686 |
|
842 |
829 |
$18.45 |
| 90723 |
|
105 |
104 |
$0.00 |
| 90651 |
|
107 |
106 |
$0.00 |
| 90680 |
|
254 |
249 |
$0.00 |
| 90647 |
|
101 |
98 |
$0.00 |
| 91305 |
|
25 |
24 |
$0.00 |
| 90677 |
|
45 |
39 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 91307 |
|
38 |
34 |
$0.00 |
| 90656 |
|
100 |
100 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90710 |
|
135 |
132 |
$0.00 |
| 90648 |
|
121 |
120 |
$0.00 |
| 90670 |
|
538 |
529 |
$0.00 |
| 90633 |
|
197 |
195 |
$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) |
129 |
118 |
$0.00 |
| 90672 |
|
24 |
24 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |