| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,356 |
12,561 |
$486K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,159 |
8,656 |
$448K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,866 |
1,835 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,275 |
1,234 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
965 |
949 |
$68K |
| 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) |
5,383 |
5,073 |
$48K |
| 90686 |
|
1,957 |
1,939 |
$17K |
| 80053 |
Comprehensive metabolic panel |
1,058 |
848 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
136 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
593 |
567 |
$10K |
| 92551 |
|
2,705 |
2,655 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
477 |
433 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
980 |
778 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
501 |
404 |
$4K |
| 85027 |
|
432 |
354 |
$3K |
| 99215 |
Prolong outpt/office vis |
53 |
49 |
$3K |
| 90670 |
|
330 |
327 |
$3K |
| 90656 |
|
389 |
389 |
$2K |
| 90723 |
|
149 |
149 |
$1K |
| 90677 |
|
137 |
135 |
$1K |
| 90647 |
|
143 |
142 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
182 |
$1K |
| 99173 |
|
1,541 |
1,517 |
$1K |
| 90680 |
|
116 |
116 |
$989.90 |
| 0071A |
|
20 |
20 |
$857.60 |
| 0072A |
|
19 |
19 |
$806.80 |
| 0124A |
|
20 |
18 |
$790.10 |
| 85610 |
|
161 |
124 |
$648.18 |
| 0001A |
|
15 |
15 |
$632.40 |
| 0004A |
|
14 |
14 |
$600.80 |
| 0002A |
|
13 |
13 |
$550.00 |
| 90715 |
|
66 |
62 |
$421.59 |
| 81025 |
|
41 |
41 |
$180.56 |
| 90648 |
|
12 |
12 |
$124.80 |
| 83655 |
|
164 |
164 |
$93.14 |
| 99177 |
|
41 |
39 |
$49.10 |
| 81003 |
|
15 |
13 |
$48.84 |
| 96127 |
|
36 |
36 |
$40.25 |
| 96160 |
|
24 |
24 |
$22.29 |
| 90651 |
|
26 |
24 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |