| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,769 |
27,502 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,609 |
9,951 |
$1.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,161 |
13,839 |
$635K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,382 |
4,275 |
$422K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,131 |
4,037 |
$405K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,162 |
2,129 |
$235K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,534 |
2,444 |
$234K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,802 |
1,747 |
$70K |
| 96127 |
|
8,814 |
8,499 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,837 |
1,667 |
$50K |
| 99050 |
|
2,177 |
2,110 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
787 |
758 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,226 |
2,132 |
$25K |
| 85018 |
|
7,784 |
7,559 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,548 |
1,499 |
$23K |
| 99173 |
|
7,799 |
7,578 |
$22K |
| 92551 |
|
4,737 |
4,593 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
124 |
124 |
$9K |
| 96161 |
|
2,475 |
2,149 |
$7K |
| 99072 |
|
4,967 |
4,394 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
31 |
31 |
$5K |
| 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) |
1,395 |
1,291 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
58 |
56 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
26 |
26 |
$3K |
| 82465 |
|
657 |
638 |
$2K |
| 90671 |
|
315 |
303 |
$2K |
| 36416 |
|
7,204 |
6,958 |
$1K |
| 87807 |
|
100 |
97 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99382 |
|
12 |
12 |
$979.17 |
| 90686 |
|
2,158 |
2,126 |
$897.81 |
| 99460 |
|
15 |
12 |
$897.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$842.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
14 |
$754.25 |
| 90651 |
|
536 |
527 |
$586.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
19 |
$491.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$467.22 |
| 81002 |
|
152 |
140 |
$428.43 |
| 81003 |
|
94 |
89 |
$140.60 |
| 96160 |
|
25 |
25 |
$96.45 |
| 90734 |
|
285 |
283 |
$42.01 |
| 90670 |
|
1,589 |
1,549 |
$21.00 |
| 90672 |
|
199 |
196 |
$21.00 |
| 83655 |
|
46 |
41 |
$0.37 |
| 36415 |
Collection of venous blood by venipuncture |
179 |
173 |
$0.02 |
| 90723 |
|
1,052 |
1,019 |
$0.00 |
| 90680 |
|
361 |
351 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| 90716 |
|
392 |
383 |
$0.00 |
| 90656 |
|
107 |
104 |
$0.00 |
| 90648 |
|
1,974 |
1,927 |
$0.00 |
| 90633 |
|
508 |
492 |
$0.00 |
| 90707 |
|
425 |
414 |
$0.00 |
| 99053 |
|
76 |
75 |
$0.00 |
| 90715 |
|
56 |
56 |
$0.00 |
| 90685 |
|
62 |
62 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |