| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,571 |
14,125 |
$943K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,882 |
5,351 |
$559K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,101 |
2,099 |
$207K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,783 |
4,736 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,675 |
1,553 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,413 |
1,411 |
$138K |
| 99215 |
Prolong outpt/office vis |
720 |
664 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
614 |
600 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
433 |
433 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
404 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
467 |
449 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
127 |
$19K |
| 90686 |
|
1,054 |
1,033 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
102 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
470 |
$9K |
| 83655 |
|
665 |
665 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
767 |
761 |
$6K |
| 80061 |
Lipid panel |
513 |
508 |
$6K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
108 |
102 |
$6K |
| 90756 |
|
222 |
222 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
265 |
263 |
$4K |
| 0071A |
|
122 |
120 |
$4K |
| 81025 |
|
473 |
459 |
$3K |
| 0072A |
|
111 |
111 |
$3K |
| 0013A |
|
103 |
103 |
$3K |
| 0011A |
|
114 |
114 |
$3K |
| 90674 |
|
134 |
134 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
129 |
$3K |
| 0012A |
|
87 |
87 |
$3K |
| 90682 |
|
99 |
99 |
$3K |
| 85018 |
|
876 |
876 |
$2K |
| 90461 |
|
79 |
79 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
29 |
28 |
$1K |
| 96127 |
|
131 |
119 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
40 |
$1K |
| 81002 |
|
323 |
322 |
$839.32 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
44 |
$408.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$388.36 |
| 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) |
36 |
33 |
$346.08 |
| 87400 |
|
17 |
17 |
$239.00 |
| 90698 |
|
270 |
268 |
$216.44 |
| 80305 |
|
13 |
12 |
$150.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$144.02 |
| 90697 |
|
46 |
46 |
$62.40 |
| 90680 |
|
554 |
552 |
$62.40 |
| 90670 |
|
1,160 |
1,152 |
$62.40 |
| 91301 |
|
410 |
406 |
$41.75 |
| 81003 |
|
23 |
23 |
$39.71 |
| 90688 |
|
247 |
246 |
$0.00 |
| 90744 |
|
87 |
87 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 91307 |
|
234 |
212 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90633 |
|
379 |
377 |
$0.00 |
| 90649 |
|
268 |
268 |
$0.00 |
| 90621 |
|
385 |
384 |
$0.00 |
| 90648 |
|
245 |
244 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90734 |
|
129 |
129 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90671 |
|
16 |
15 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |