| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,743 |
34,964 |
$3.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,634 |
11,005 |
$1.33M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,821 |
4,505 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
809 |
777 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
725 |
658 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
319 |
310 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
604 |
293 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,323 |
1,240 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
851 |
748 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
178 |
$22K |
| 90670 |
|
233 |
211 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,413 |
3,955 |
$13K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,520 |
2,520 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
699 |
625 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
548 |
479 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
163 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
92 |
89 |
$8K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
90 |
86 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$5K |
| 90686 |
|
331 |
315 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
331 |
210 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
575 |
532 |
$3K |
| 80053 |
Comprehensive metabolic panel |
438 |
408 |
$3K |
| 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) |
167 |
150 |
$3K |
| 87631 |
|
13 |
12 |
$2K |
| 84439 |
|
256 |
241 |
$2K |
| 90723 |
|
59 |
56 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
45 |
$1K |
| 81001 |
|
405 |
382 |
$1K |
| 90680 |
|
31 |
27 |
$794.50 |
| 80050 |
General health panel |
13 |
13 |
$773.63 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$513.10 |
| 90647 |
|
64 |
57 |
$501.20 |
| 90474 |
|
31 |
27 |
$405.45 |
| 80061 |
Lipid panel |
31 |
24 |
$174.07 |
| 90656 |
|
31 |
31 |
$163.97 |
| 90685 |
|
12 |
12 |
$110.22 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$102.61 |
| 90688 |
|
87 |
77 |
$17.84 |