| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,388 |
54,300 |
$2.58M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,327 |
12,323 |
$892K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,402 |
8,508 |
$608K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,625 |
7,721 |
$573K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,069 |
8,428 |
$553K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,191 |
26,044 |
$407K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,575 |
13,899 |
$278K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,214 |
6,557 |
$185K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,219 |
1,924 |
$162K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,634 |
2,480 |
$121K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,136 |
2,005 |
$110K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
884 |
782 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,858 |
2,127 |
$104K |
| 92551 |
|
12,683 |
11,485 |
$94K |
| 90677 |
|
1,107 |
889 |
$72K |
| 99173 |
|
13,596 |
12,057 |
$58K |
| 99050 |
|
2,565 |
2,448 |
$46K |
| 90688 |
|
10,782 |
9,542 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,212 |
1,127 |
$33K |
| 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) |
4,313 |
3,830 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,000 |
1,900 |
$22K |
| 90670 |
|
5,861 |
5,459 |
$21K |
| 90474 |
|
1,778 |
1,660 |
$16K |
| 3008F |
|
21,162 |
18,763 |
$14K |
| 87631 |
|
158 |
156 |
$12K |
| 36416 |
|
10,396 |
8,691 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,134 |
530 |
$11K |
| 0240U |
|
104 |
70 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,004 |
891 |
$10K |
| 99177 |
|
1,130 |
1,077 |
$6K |
| 96127 |
|
3,795 |
3,230 |
$6K |
| 90658 |
|
978 |
815 |
$5K |
| 90698 |
|
3,207 |
2,942 |
$4K |
| 96160 |
|
1,442 |
1,424 |
$4K |
| 90716 |
|
556 |
501 |
$3K |
| 99401 |
|
155 |
115 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
424 |
350 |
$3K |
| 90680 |
|
2,454 |
2,246 |
$3K |
| 85014 |
|
1,157 |
967 |
$2K |
| 87081 |
|
757 |
670 |
$2K |
| 90707 |
|
595 |
536 |
$2K |
| 90480 |
|
43 |
40 |
$1K |
| 80061 |
Lipid panel |
186 |
153 |
$1K |
| 90633 |
|
747 |
684 |
$1K |
| 83655 |
|
91 |
78 |
$830.90 |
| 0071A |
|
19 |
15 |
$668.88 |
| 90744 |
|
995 |
906 |
$333.56 |
| 90651 |
|
137 |
109 |
$260.00 |
| 90756 |
|
108 |
98 |
$257.93 |
| 96161 |
|
413 |
359 |
$57.16 |
| 81003 |
|
16 |
12 |
$35.80 |
| 90700 |
|
15 |
13 |
$33.33 |
| 99000 |
|
3,254 |
2,971 |
$4.61 |
| 91307 |
|
259 |
177 |
$0.70 |
| 91300 |
|
60 |
39 |
$0.16 |
| 91308 |
|
14 |
12 |
$0.04 |
| 90619 |
|
14 |
12 |
$0.00 |
| 90687 |
|
554 |
531 |
$0.00 |
| 90685 |
|
29 |
29 |
$0.00 |
| 90648 |
|
21 |
14 |
$0.00 |
| 90734 |
|
29 |
24 |
$0.00 |
| 5250F |
|
13 |
12 |
$0.00 |