| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,398 |
9,923 |
$891K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,978 |
1,978 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,619 |
1,618 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,417 |
1,417 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,600 |
5,576 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
727 |
685 |
$74K |
| 87428 |
|
1,218 |
1,179 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
603 |
602 |
$57K |
| 99050 |
|
664 |
642 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,225 |
651 |
$19K |
| 4124F |
|
1,053 |
1,022 |
$13K |
| 87081 |
|
2,179 |
2,117 |
$11K |
| 96127 |
|
2,025 |
2,022 |
$11K |
| 81002 |
|
4,400 |
4,334 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,619 |
2,565 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,183 |
2,120 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
166 |
$7K |
| 80061 |
Lipid panel |
1,048 |
1,047 |
$6K |
| 83655 |
|
369 |
369 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
46 |
$5K |
| 99051 |
|
672 |
644 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
157 |
$2K |
| 0072A |
|
27 |
27 |
$1K |
| 92551 |
|
3,345 |
3,337 |
$1K |
| 0001A |
|
24 |
24 |
$960.00 |
| 0002A |
|
24 |
24 |
$960.00 |
| 0071A |
|
17 |
17 |
$680.00 |
| 90480 |
|
14 |
14 |
$560.00 |
| 0053A |
|
12 |
12 |
$480.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$444.20 |
| 94010 |
|
12 |
12 |
$405.14 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
129 |
$395.81 |
| 87807 |
|
26 |
26 |
$377.00 |
| 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) |
13 |
13 |
$193.05 |
| 92567 |
|
13 |
13 |
$181.82 |
| 86580 |
|
13 |
13 |
$177.19 |
| 90686 |
|
147 |
147 |
$132.36 |
| 99173 |
|
1,926 |
1,919 |
$86.04 |
| 85018 |
|
33 |
33 |
$60.54 |
| 87999 |
|
140 |
140 |
$27.00 |
| 97802 |
|
2,625 |
2,625 |
$20.00 |
| 36416 |
|
2,547 |
2,484 |
$0.00 |
| 99000 |
|
1,491 |
1,445 |
$0.00 |
| 91307 |
|
65 |
52 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 91300 |
|
76 |
69 |
$0.00 |
| 99072 |
|
8,151 |
7,069 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| 90685 |
|
34 |
33 |
$0.00 |