| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,936 |
13,092 |
$814K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,313 |
9,949 |
$517K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,918 |
2,637 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
284 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
305 |
289 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
185 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
349 |
314 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
794 |
705 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
94 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,238 |
3,696 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
115 |
$8K |
| 99221 |
|
108 |
95 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
75 |
70 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
82 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,233 |
1,052 |
$7K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
24 |
12 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
328 |
$5K |
| 90682 |
|
75 |
67 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$1K |
| 90474 |
|
46 |
45 |
$623.87 |
| 96127 |
|
128 |
111 |
$368.65 |
| 95874 |
|
40 |
24 |
$316.76 |
| 90686 |
|
559 |
518 |
$301.64 |
| 96381 |
|
16 |
16 |
$246.00 |
| 81003 |
|
250 |
175 |
$121.41 |
| 90685 |
|
17 |
13 |
$61.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$23.18 |
| 99173 |
|
15 |
12 |
$9.98 |
| 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) |
43 |
39 |
$0.00 |
| 90670 |
|
18 |
16 |
$0.00 |
| 90677 |
|
83 |
82 |
$0.00 |
| 90697 |
|
39 |
39 |
$0.00 |
| 90651 |
|
21 |
14 |
$0.00 |
| 90680 |
|
58 |
58 |
$0.00 |