| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,025 |
19,240 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,278 |
18,405 |
$693K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,527 |
5,463 |
$466K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,788 |
3,734 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,051 |
3,918 |
$265K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,903 |
1,886 |
$166K |
| 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) |
7,121 |
6,783 |
$66K |
| 90686 |
|
4,563 |
4,534 |
$43K |
| 99215 |
Prolong outpt/office vis |
501 |
489 |
$39K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,146 |
2,025 |
$37K |
| 90670 |
|
2,399 |
2,386 |
$24K |
| G0008 |
Administration of influenza virus vaccine |
1,970 |
1,941 |
$20K |
| 90723 |
|
2,028 |
2,009 |
$19K |
| 90647 |
|
1,943 |
1,929 |
$19K |
| 90680 |
|
1,602 |
1,590 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
324 |
319 |
$8K |
| 90677 |
|
1,193 |
1,182 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,156 |
911 |
$7K |
| 92551 |
|
5,504 |
5,449 |
$7K |
| 90633 |
|
830 |
825 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
131 |
$7K |
| 90750 |
|
135 |
134 |
$5K |
| 90651 |
|
275 |
273 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
822 |
779 |
$5K |
| 90656 |
|
682 |
682 |
$5K |
| 85027 |
|
594 |
500 |
$5K |
| 90732 |
|
41 |
41 |
$5K |
| 90715 |
|
312 |
311 |
$3K |
| G0009 |
Administration of pneumococcal vaccine |
300 |
299 |
$3K |
| 90734 |
|
329 |
325 |
$3K |
| 0001A |
|
65 |
64 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
246 |
$2K |
| 90710 |
|
222 |
220 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 99173 |
|
4,182 |
4,155 |
$2K |
| 99499 |
|
130 |
126 |
$2K |
| 80053 |
Comprehensive metabolic panel |
161 |
157 |
$2K |
| 90739 |
|
375 |
372 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
170 |
146 |
$1K |
| 0052A |
|
24 |
24 |
$1K |
| G0010 |
Administration of hepatitis b vaccine |
104 |
104 |
$998.80 |
| 90648 |
|
93 |
93 |
$909.50 |
| 90746 |
|
39 |
38 |
$795.09 |
| 81025 |
|
179 |
136 |
$783.17 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
79 |
74 |
$729.86 |
| 90696 |
|
82 |
80 |
$712.60 |
| 0004A |
|
17 |
17 |
$705.20 |
| 0051A |
|
16 |
16 |
$678.40 |
| 81001 |
|
220 |
193 |
$677.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$658.32 |
| 90700 |
|
60 |
60 |
$616.60 |
| 0124A |
|
17 |
17 |
$610.52 |
| 90681 |
|
58 |
57 |
$559.70 |
| 85018 |
|
251 |
241 |
$393.47 |
| 96127 |
|
562 |
561 |
$258.20 |
| 83655 |
|
840 |
832 |
$241.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
329 |
310 |
$201.00 |
| 81003 |
|
53 |
52 |
$174.30 |
| 99177 |
|
374 |
360 |
$157.77 |
| 90620 |
|
32 |
32 |
$149.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$144.96 |
| 90716 |
|
13 |
13 |
$123.90 |
| 90707 |
|
13 |
13 |
$123.90 |
| 3078F |
|
26 |
26 |
$60.00 |
| 96160 |
|
341 |
339 |
$54.99 |
| 80061 |
Lipid panel |
31 |
31 |
$16.10 |
| 3008F |
|
537 |
526 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |