| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,005 |
1,834 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
466 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
331 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,291 |
1,272 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
157 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
132 |
$12K |
| 87428 |
|
175 |
163 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,155 |
667 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
105 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
503 |
381 |
$4K |
| 99000 |
|
337 |
327 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
35 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
91 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
47 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$366.96 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
14 |
14 |
$168.00 |
| 90686 |
|
502 |
498 |
$40.02 |
| 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) |
21 |
21 |
$0.15 |
| 90670 |
|
167 |
167 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |
| 90698 |
|
53 |
53 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |