| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,319 |
64,737 |
$4.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,695 |
16,012 |
$1.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,599 |
9,570 |
$803K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,238 |
6,228 |
$506K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,112 |
14,960 |
$445K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,942 |
10,628 |
$445K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,406 |
5,367 |
$422K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49,603 |
46,714 |
$390K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,418 |
3,409 |
$285K |
| 90461 |
|
6,080 |
6,036 |
$220K |
| 87070 |
|
38,578 |
36,505 |
$142K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,943 |
6,658 |
$136K |
| 17110 |
|
849 |
799 |
$69K |
| 99442 |
|
1,535 |
1,433 |
$64K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,410 |
2,367 |
$57K |
| 99381 |
|
425 |
424 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,835 |
5,535 |
$28K |
| 83655 |
|
2,183 |
2,180 |
$19K |
| 99443 |
|
235 |
225 |
$13K |
| 69210 |
|
357 |
354 |
$9K |
| 85018 |
|
4,883 |
4,878 |
$8K |
| 81002 |
|
2,695 |
2,647 |
$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) |
879 |
833 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
73 |
$4K |
| 99401 |
|
113 |
112 |
$3K |
| 92587 |
|
89 |
89 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
105 |
98 |
$1K |
| 87807 |
|
264 |
262 |
$1K |
| 36410 |
|
173 |
173 |
$1K |
| 99441 |
|
51 |
50 |
$543.83 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$540.00 |
| 99188 |
|
24 |
24 |
$438.86 |
| 90697 |
|
928 |
928 |
$391.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
71 |
71 |
$310.08 |
| 90677 |
|
554 |
554 |
$257.00 |
| 99429 |
|
20 |
20 |
$206.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$203.04 |
| 87081 |
|
125 |
123 |
$196.39 |
| 99174 |
|
59 |
59 |
$171.42 |
| 90670 |
|
1,234 |
1,233 |
$57.00 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
80 |
$51.65 |
| 90686 |
|
686 |
686 |
$28.00 |
| 90707 |
|
288 |
288 |
$28.00 |
| 36416 |
|
10,719 |
10,354 |
$27.77 |
| 90710 |
|
65 |
65 |
$17.85 |
| 90716 |
|
92 |
92 |
$3.00 |
| 90715 |
|
41 |
41 |
$1.00 |
| 90696 |
|
140 |
140 |
$0.00 |
| 90698 |
|
136 |
136 |
$0.00 |
| 90723 |
|
330 |
330 |
$0.00 |
| 90647 |
|
53 |
53 |
$0.00 |
| 99000 |
|
138 |
137 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 90734 |
|
151 |
151 |
$0.00 |
| 90700 |
|
69 |
69 |
$0.00 |