| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,029 |
63,139 |
$3.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,426 |
40,220 |
$3.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43,316 |
42,262 |
$1.74M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,523 |
14,885 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,443 |
13,194 |
$1.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,984 |
11,776 |
$945K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,227 |
6,107 |
$543K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,274 |
6,955 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,126 |
2,014 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,130 |
3,060 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,169 |
2,095 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
941 |
919 |
$41K |
| 90461 |
|
940 |
917 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,873 |
2,345 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,070 |
1,009 |
$32K |
| 99463 |
|
330 |
324 |
$27K |
| 99384 |
|
151 |
150 |
$26K |
| 0071A |
|
247 |
247 |
$20K |
| 96127 |
|
4,832 |
4,487 |
$18K |
| 0072A |
|
222 |
221 |
$18K |
| 99215 |
Prolong outpt/office vis |
152 |
151 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
113 |
$10K |
| 99173 |
|
5,855 |
5,576 |
$7K |
| 99177 |
|
404 |
397 |
$7K |
| 99381 |
|
56 |
56 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
76 |
$3K |
| 99460 |
|
49 |
48 |
$3K |
| 99188 |
|
235 |
227 |
$3K |
| 92551 |
|
1,054 |
1,021 |
$3K |
| 87428 |
|
38 |
38 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
42 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 94667 |
|
66 |
65 |
$1K |
| 96161 |
|
497 |
482 |
$1K |
| 99383 |
|
16 |
16 |
$1K |
| 90670 |
|
6,712 |
6,293 |
$1K |
| 90686 |
|
7,606 |
6,775 |
$1K |
| 69210 |
|
27 |
27 |
$1K |
| 83655 |
|
105 |
103 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$989.58 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
142 |
142 |
$813.95 |
| 94010 |
|
34 |
34 |
$806.84 |
| 81002 |
|
281 |
265 |
$801.65 |
| 96160 |
|
295 |
258 |
$656.11 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$373.91 |
| 96380 |
|
20 |
20 |
$332.54 |
| 85018 |
|
141 |
138 |
$278.34 |
| 94664 |
|
15 |
15 |
$263.06 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
18 |
12 |
$234.15 |
| 86580 |
|
29 |
28 |
$234.00 |
| 90680 |
|
3,909 |
3,673 |
$194.89 |
| 99000 |
|
143 |
126 |
$149.86 |
| 90656 |
|
349 |
252 |
$145.31 |
| 90697 |
|
260 |
242 |
$122.50 |
| 90744 |
|
2,186 |
2,045 |
$103.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$86.56 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$79.50 |
| 90713 |
|
415 |
388 |
$56.04 |
| 90700 |
|
545 |
506 |
$50.10 |
| 90648 |
|
217 |
209 |
$44.34 |
| 90698 |
|
5,904 |
5,545 |
$20.28 |
| 94760 |
|
17 |
16 |
$15.62 |
| 36416 |
|
44 |
40 |
$6.94 |
| 90677 |
|
519 |
484 |
$1.99 |
| 3008F |
|
904 |
904 |
$0.43 |
| G9920 |
Screening performed and negative |
69 |
69 |
$0.12 |
| 90633 |
|
2,161 |
1,999 |
$0.01 |
| 90651 |
|
773 |
678 |
$0.01 |
| 90621 |
|
51 |
45 |
$0.00 |
| 90685 |
|
404 |
359 |
$0.00 |
| 90710 |
|
1,307 |
1,188 |
$0.00 |
| 90734 |
|
79 |
77 |
$0.00 |
| 90715 |
|
32 |
26 |
$0.00 |
| 90707 |
|
115 |
105 |
$0.00 |
| 91307 |
|
145 |
141 |
$0.00 |
| 90688 |
|
1,613 |
1,425 |
$0.00 |
| 90696 |
|
102 |
91 |
$0.00 |
| 90716 |
|
114 |
104 |
$0.00 |
| 90619 |
|
104 |
80 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |