| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,215 |
14,496 |
$888K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,257 |
3,176 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,766 |
2,705 |
$316K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,494 |
2,400 |
$276K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,806 |
1,727 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,375 |
2,238 |
$183K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
656 |
627 |
$69K |
| 99499 |
|
2,767 |
2,584 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,549 |
1,471 |
$54K |
| 99188 |
|
2,504 |
2,425 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,285 |
1,216 |
$42K |
| 92551 |
|
4,042 |
3,761 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
440 |
428 |
$34K |
| 94664 |
|
1,765 |
1,686 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,847 |
2,659 |
$26K |
| 99080 |
|
1,371 |
1,314 |
$20K |
| 99381 |
|
228 |
223 |
$19K |
| 99495 |
|
122 |
120 |
$18K |
| 92552 |
|
717 |
699 |
$18K |
| 90686 |
|
3,427 |
2,132 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,338 |
1,281 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,283 |
1,482 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,693 |
1,570 |
$13K |
| 90697 |
|
1,118 |
1,060 |
$11K |
| 96127 |
|
2,864 |
2,683 |
$11K |
| 86318 |
|
620 |
583 |
$11K |
| 86769 |
|
698 |
644 |
$10K |
| 90651 |
|
1,067 |
1,054 |
$8K |
| 90670 |
|
1,255 |
1,227 |
$8K |
| 90461 |
|
877 |
819 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
338 |
$6K |
| 97802 |
|
415 |
409 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
596 |
592 |
$6K |
| 90734 |
|
1,073 |
915 |
$6K |
| 99383 |
|
52 |
52 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
54 |
$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) |
503 |
409 |
$6K |
| 90633 |
|
759 |
740 |
$5K |
| 90620 |
|
870 |
698 |
$5K |
| 90681 |
|
766 |
661 |
$5K |
| 99215 |
Prolong outpt/office vis |
52 |
49 |
$5K |
| 90707 |
|
431 |
405 |
$4K |
| 99174 |
|
576 |
559 |
$4K |
| 99173 |
|
4,394 |
4,030 |
$4K |
| 96160 |
|
2,110 |
1,963 |
$4K |
| 90716 |
|
373 |
353 |
$4K |
| 90710 |
|
260 |
249 |
$4K |
| 99050 |
|
205 |
196 |
$3K |
| 90656 |
|
313 |
313 |
$3K |
| 99384 |
|
28 |
28 |
$3K |
| 90677 |
|
348 |
345 |
$3K |
| 99177 |
|
418 |
405 |
$3K |
| 99496 |
|
15 |
15 |
$3K |
| 99441 |
|
683 |
646 |
$3K |
| 90696 |
|
391 |
330 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
133 |
133 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
230 |
224 |
$2K |
| 90744 |
|
157 |
145 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$2K |
| 90715 |
|
438 |
360 |
$2K |
| 96161 |
|
818 |
724 |
$2K |
| 90672 |
|
272 |
251 |
$1K |
| 0071A |
|
31 |
27 |
$1K |
| 90685 |
|
92 |
92 |
$921.70 |
| 87807 |
|
122 |
110 |
$892.17 |
| 3008F |
|
1,816 |
1,748 |
$660.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
26 |
26 |
$510.00 |
| 90660 |
|
69 |
68 |
$369.70 |
| 90700 |
|
29 |
28 |
$308.52 |
| 0001A |
|
15 |
15 |
$250.00 |
| 90480 |
|
15 |
15 |
$150.00 |
| 90381 |
|
25 |
25 |
$120.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
3,221 |
2,892 |
$104.40 |
| 83655 |
|
869 |
804 |
$66.00 |
| 81003 |
|
13 |
12 |
$13.04 |
| G9920 |
Screening performed and negative |
212 |
197 |
$10.80 |
| 80061 |
Lipid panel |
187 |
169 |
$10.00 |
| 85013 |
|
495 |
459 |
$3.60 |
| 85018 |
|
495 |
459 |
$3.55 |
| 81000 |
|
63 |
55 |
$0.00 |
| 90698 |
|
1,386 |
397 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |
| 99051 |
|
600 |
557 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |