| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,837 |
10,646 |
$457K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,333 |
1,261 |
$100K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,542 |
2,265 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
1,020 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,581 |
5,859 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,933 |
2,867 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
941 |
894 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,133 |
1,638 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,487 |
4,050 |
$27K |
| 99429 |
|
468 |
458 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
294 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
198 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
361 |
$9K |
| 92567 |
|
477 |
464 |
$6K |
| 90461 |
|
913 |
655 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
51 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
229 |
91 |
$2K |
| S8301 |
Infection control supplies, not otherwise specified |
90 |
85 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
251 |
197 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
140 |
$2K |
| 99051 |
|
571 |
531 |
$2K |
| 87807 |
|
145 |
134 |
$2K |
| 96160 |
|
1,021 |
925 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
46 |
$607.92 |
| 92552 |
|
108 |
108 |
$476.00 |
| 99000 |
|
42 |
41 |
$432.00 |
| 36410 |
|
13 |
12 |
$151.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
32 |
$66.64 |
| 90658 |
|
641 |
612 |
$36.91 |
| 96161 |
|
48 |
48 |
$2.25 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
36 |
31 |
$0.00 |
| 90716 |
|
73 |
72 |
$0.00 |
| 90647 |
|
39 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
33 |
$0.00 |
| 90651 |
|
49 |
49 |
$0.00 |
| 36416 |
|
71 |
67 |
$0.00 |
| 90620 |
|
16 |
13 |
$0.00 |
| 90670 |
|
77 |
75 |
$0.00 |
| 90633 |
|
44 |
44 |
$0.00 |
| 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) |
63 |
56 |
$0.00 |
| 99188 |
|
43 |
39 |
$0.00 |
| 90734 |
|
109 |
105 |
$0.00 |
| 90707 |
|
45 |
45 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |