| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,842 |
51,664 |
$3.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,723 |
36,764 |
$1.72M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,056 |
11,264 |
$777K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
10,595 |
8,806 |
$666K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,277 |
8,859 |
$601K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,557 |
9,088 |
$570K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19,100 |
16,333 |
$514K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,499 |
4,270 |
$321K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,553 |
21,898 |
$310K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,960 |
10,988 |
$304K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,182 |
14,389 |
$228K |
| 87634 |
|
3,591 |
2,954 |
$176K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,639 |
3,525 |
$146K |
| 92551 |
|
18,267 |
17,350 |
$137K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,219 |
11,607 |
$108K |
| 99188 |
|
3,117 |
2,775 |
$63K |
| 99381 |
|
571 |
516 |
$38K |
| 99215 |
Prolong outpt/office vis |
463 |
396 |
$36K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,945 |
4,398 |
$35K |
| 99173 |
|
18,334 |
17,334 |
$33K |
| 96161 |
|
5,163 |
3,991 |
$28K |
| 83655 |
|
2,925 |
2,526 |
$27K |
| 90473 |
|
2,700 |
2,601 |
$27K |
| 90474 |
|
2,852 |
2,627 |
$23K |
| 99051 |
|
1,682 |
1,482 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
805 |
712 |
$20K |
| 87807 |
|
1,608 |
1,344 |
$16K |
| 99499 |
|
1,018 |
889 |
$9K |
| 85018 |
|
4,086 |
3,592 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,097 |
716 |
$8K |
| 0071A |
|
183 |
157 |
$6K |
| 0072A |
|
135 |
132 |
$6K |
| 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) |
871 |
763 |
$5K |
| 96127 |
|
4,140 |
3,286 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
479 |
190 |
$4K |
| 80061 |
Lipid panel |
318 |
256 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
34 |
30 |
$2K |
| 81003 |
|
1,329 |
1,114 |
$2K |
| 99460 |
|
44 |
40 |
$2K |
| 96380 |
|
125 |
113 |
$2K |
| 99050 |
|
88 |
73 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
121 |
$553.50 |
| 69210 |
|
14 |
13 |
$403.66 |
| 97802 |
|
265 |
190 |
$287.46 |
| 36416 |
|
2,066 |
1,429 |
$268.73 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
139 |
89 |
$253.25 |
| 90670 |
|
5,733 |
5,316 |
$237.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
17 |
$185.84 |
| 90698 |
|
4,602 |
4,248 |
$115.01 |
| 90686 |
|
8,558 |
7,697 |
$103.61 |
| 90680 |
|
5,676 |
5,233 |
$75.00 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
29 |
$72.24 |
| 90620 |
|
477 |
410 |
$71.25 |
| 94760 |
|
324 |
257 |
$56.45 |
| 90633 |
|
3,931 |
3,511 |
$43.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
51 |
$33.96 |
| 99000 |
|
3,020 |
2,238 |
$25.50 |
| 90619 |
|
459 |
393 |
$25.00 |
| 90744 |
|
2,077 |
1,943 |
$14.51 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
21 |
15 |
$9.98 |
| 90651 |
|
1,091 |
1,015 |
$1.13 |
| 90671 |
|
2,451 |
2,155 |
$0.14 |
| 90696 |
|
210 |
187 |
$0.00 |
| 3008F |
|
5,929 |
5,530 |
$0.00 |
| 90697 |
|
2,903 |
2,605 |
$0.00 |
| 90716 |
|
263 |
233 |
$0.00 |
| 91307 |
|
538 |
420 |
$0.00 |
| 90656 |
|
576 |
520 |
$0.00 |
| 1030F |
|
898 |
704 |
$0.00 |
| 90381 |
|
43 |
37 |
$0.00 |
| 91305 |
|
54 |
49 |
$0.00 |
| 3074F |
|
23 |
23 |
$0.00 |
| 90707 |
|
305 |
267 |
$0.00 |
| 90734 |
|
466 |
420 |
$0.00 |
| 90685 |
|
872 |
793 |
$0.00 |
| 1160F |
|
1,191 |
916 |
$0.00 |
| 3078F |
|
22 |
22 |
$0.00 |
| 90710 |
|
317 |
280 |
$0.00 |
| 90715 |
|
104 |
98 |
$0.00 |
| 1159F |
|
1,191 |
915 |
$0.00 |
| 90380 |
|
16 |
13 |
$0.00 |
| 99072 |
|
536 |
408 |
$0.00 |
| 91308 |
|
13 |
12 |
$0.00 |
| 91300 |
|
39 |
32 |
$0.00 |