| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,531 |
20,328 |
$941K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,889 |
16,015 |
$785K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,608 |
10,673 |
$747K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,687 |
7,401 |
$562K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,525 |
7,077 |
$503K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,646 |
3,905 |
$291K |
| 92552 |
|
7,708 |
6,504 |
$118K |
| 97802 |
|
11,664 |
9,767 |
$115K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,116 |
2,693 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,039 |
3,497 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,418 |
1,162 |
$92K |
| 90671 |
|
2,106 |
1,716 |
$79K |
| 96161 |
|
6,982 |
5,708 |
$74K |
| 96160 |
|
6,079 |
5,191 |
$67K |
| 96127 |
|
14,832 |
11,324 |
$62K |
| 87428 |
|
1,149 |
923 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,992 |
2,546 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,109 |
3,455 |
$34K |
| 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) |
5,051 |
4,076 |
$29K |
| 99177 |
|
5,442 |
4,489 |
$27K |
| 99173 |
|
5,568 |
4,621 |
$22K |
| 92587 |
|
872 |
636 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
986 |
934 |
$12K |
| 97803 |
|
1,029 |
796 |
$8K |
| 3008F |
|
15,877 |
13,304 |
$7K |
| 90670 |
|
3,402 |
3,027 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
153 |
$4K |
| 80061 |
Lipid panel |
575 |
362 |
$4K |
| 90686 |
|
5,522 |
4,829 |
$4K |
| 83655 |
|
591 |
401 |
$4K |
| 85018 |
|
1,972 |
1,542 |
$3K |
| 36416 |
|
3,443 |
2,671 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
39 |
$3K |
| 90716 |
|
1,078 |
855 |
$3K |
| 90461 |
|
4,796 |
3,881 |
$2K |
| 90651 |
|
587 |
444 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,432 |
1,204 |
$2K |
| 96380 |
|
102 |
88 |
$2K |
| 99381 |
|
28 |
25 |
$2K |
| 99401 |
|
181 |
114 |
$2K |
| 90707 |
|
1,096 |
874 |
$2K |
| 90723 |
|
3,905 |
3,377 |
$1K |
| 87400 |
|
207 |
111 |
$1K |
| 90680 |
|
2,837 |
2,459 |
$1K |
| 99051 |
|
394 |
345 |
$987.42 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
23 |
18 |
$870.00 |
| 90633 |
|
1,632 |
1,401 |
$605.43 |
| 90647 |
|
3,841 |
3,319 |
$587.78 |
| 90381 |
|
56 |
46 |
$571.93 |
| 90661 |
|
723 |
641 |
$549.32 |
| 90734 |
|
242 |
174 |
$522.48 |
| 90674 |
|
423 |
362 |
$344.36 |
| 36410 |
|
31 |
28 |
$328.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
26 |
$164.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$142.60 |
| 90696 |
|
212 |
141 |
$80.60 |
| 94760 |
|
425 |
362 |
$80.47 |
| 90710 |
|
16 |
12 |
$79.22 |
| 90656 |
|
193 |
181 |
$73.85 |
| 81003 |
|
46 |
43 |
$73.25 |
| 90660 |
|
37 |
26 |
$31.21 |
| 99000 |
|
4,898 |
4,193 |
$6.15 |
| 90380 |
|
27 |
24 |
$0.40 |
| 91307 |
|
25 |
13 |
$0.04 |
| 90700 |
|
135 |
115 |
$0.01 |
| 90715 |
|
41 |
26 |
$0.01 |
| 90620 |
|
17 |
12 |
$0.01 |
| 99072 |
|
2,714 |
2,383 |
$0.00 |
| 90685 |
|
134 |
117 |
$0.00 |
| 90681 |
|
108 |
74 |
$0.00 |
| 90672 |
|
14 |
12 |
$0.00 |
| 99070 |
|
16 |
14 |
$0.00 |