| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,210 |
11,603 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,699 |
11,532 |
$950K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,036 |
4,882 |
$665K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,794 |
4,558 |
$592K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,370 |
4,046 |
$541K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,285 |
3,190 |
$427K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,134 |
12,584 |
$388K |
| 97802 |
|
11,271 |
10,770 |
$167K |
| 90461 |
|
6,245 |
5,720 |
$115K |
| 92552 |
|
5,221 |
5,071 |
$81K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
9,041 |
8,563 |
$66K |
| 99442 |
|
1,077 |
881 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
888 |
828 |
$39K |
| 99401 |
|
363 |
351 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,325 |
3,191 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,722 |
1,585 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,256 |
2,163 |
$16K |
| 81002 |
|
8,440 |
8,097 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
292 |
286 |
$10K |
| 92567 |
|
1,238 |
1,179 |
$9K |
| 87070 |
|
1,319 |
1,258 |
$7K |
| 90671 |
|
336 |
330 |
$7K |
| 87184 |
|
1,200 |
1,144 |
$5K |
| 99383 |
|
24 |
24 |
$4K |
| 90716 |
|
1,366 |
1,308 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 99460 |
|
17 |
14 |
$2K |
| 99484 |
|
586 |
556 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 0072A |
|
50 |
41 |
$1K |
| 90707 |
|
1,359 |
1,303 |
$989.43 |
| 99051 |
|
278 |
255 |
$684.23 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$556.55 |
| 90651 |
|
933 |
908 |
$542.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$474.22 |
| 0071A |
|
12 |
12 |
$437.79 |
| 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) |
356 |
314 |
$402.40 |
| 90686 |
|
2,850 |
2,694 |
$371.01 |
| 90633 |
|
1,398 |
1,328 |
$363.06 |
| 90670 |
|
2,746 |
2,649 |
$360.10 |
| 96127 |
|
325 |
319 |
$358.66 |
| 96380 |
|
60 |
42 |
$357.76 |
| 90648 |
|
2,203 |
2,130 |
$352.71 |
| 90696 |
|
250 |
245 |
$342.78 |
| 99050 |
|
32 |
32 |
$264.22 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
52 |
$172.90 |
| 90688 |
|
1,021 |
951 |
$130.43 |
| 96161 |
|
121 |
105 |
$78.63 |
| 90700 |
|
739 |
711 |
$51.60 |
| 90687 |
|
46 |
44 |
$33.24 |
| 91307 |
|
47 |
46 |
$0.03 |
| 90723 |
|
1,175 |
1,129 |
$0.00 |
| 90697 |
|
245 |
239 |
$0.00 |
| 90620 |
|
408 |
393 |
$0.00 |
| 90674 |
|
69 |
59 |
$0.00 |
| 94760 |
|
43 |
43 |
$0.00 |
| 90734 |
|
947 |
907 |
$0.00 |
| 90681 |
|
863 |
839 |
$0.00 |
| 90715 |
|
340 |
332 |
$0.00 |
| 90685 |
|
131 |
98 |
$0.00 |
| 90713 |
|
43 |
40 |
$0.00 |