| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,850 |
5,370 |
$429K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,367 |
1,948 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,993 |
1,896 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,442 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,328 |
1,274 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
467 |
453 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
663 |
621 |
$11K |
| 90670 |
|
856 |
818 |
$9K |
| 90686 |
|
1,189 |
1,134 |
$8K |
| 0071A |
|
224 |
188 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
684 |
645 |
$7K |
| 0001A |
|
138 |
137 |
$6K |
| 90698 |
|
489 |
426 |
$5K |
| 96127 |
|
301 |
266 |
$5K |
| 0072A |
|
118 |
115 |
$5K |
| 0002A |
|
109 |
108 |
$5K |
| 99215 |
Prolong outpt/office vis |
48 |
47 |
$4K |
| 90651 |
|
197 |
188 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
74 |
73 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
73 |
72 |
$3K |
| 0082A |
|
72 |
66 |
$3K |
| 0081A |
|
68 |
65 |
$3K |
| 99383 |
|
25 |
23 |
$2K |
| 90633 |
|
284 |
268 |
$2K |
| 80053 |
Comprehensive metabolic panel |
192 |
185 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
120 |
117 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
123 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
183 |
176 |
$2K |
| 90647 |
|
289 |
280 |
$2K |
| 90723 |
|
268 |
262 |
$2K |
| 73610 |
|
122 |
121 |
$2K |
| 87070 |
|
268 |
262 |
$2K |
| 0031A |
|
38 |
38 |
$2K |
| 0052A |
|
38 |
37 |
$1K |
| 0011A |
|
34 |
32 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
94 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
184 |
179 |
$1K |
| 90710 |
|
66 |
62 |
$1K |
| 0012A |
|
25 |
25 |
$1K |
| 73630 |
|
97 |
95 |
$991.16 |
| 87186 |
|
58 |
58 |
$954.99 |
| 90681 |
|
144 |
138 |
$927.36 |
| 83655 |
|
76 |
74 |
$903.13 |
| 87081 |
|
146 |
144 |
$851.94 |
| 90734 |
|
94 |
85 |
$849.70 |
| 80061 |
Lipid panel |
128 |
125 |
$810.09 |
| 90744 |
|
110 |
109 |
$769.32 |
| 0064A |
|
17 |
16 |
$674.24 |
| 90715 |
|
74 |
72 |
$603.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
93 |
91 |
$597.42 |
| D1206 |
Topical application of fluoride varnish |
22 |
18 |
$530.40 |
| 74018 |
|
41 |
40 |
$419.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$384.75 |
| 90696 |
|
50 |
46 |
$370.70 |
| 90680 |
|
50 |
50 |
$320.32 |
| 90685 |
|
41 |
34 |
$288.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$273.07 |
| 90716 |
|
15 |
13 |
$227.22 |
| 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 |
15 |
13 |
$197.85 |
| 85018 |
|
65 |
63 |
$150.80 |
| 73562 |
|
15 |
14 |
$144.69 |
| 84439 |
|
14 |
14 |
$127.12 |
| 73130 |
|
12 |
12 |
$109.23 |
| 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) |
30 |
29 |
$97.00 |
| 87205 |
|
24 |
24 |
$93.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
43 |
$0.00 |
| 87077 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$0.00 |