| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,097 |
8,421 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,729 |
8,009 |
$773K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,113 |
1,780 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,864 |
1,568 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,496 |
1,282 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,331 |
1,094 |
$124K |
| 97802 |
|
7,095 |
5,856 |
$109K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,879 |
1,603 |
$74K |
| 90686 |
|
1,993 |
1,708 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,195 |
2,727 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,711 |
1,340 |
$33K |
| 90698 |
|
1,062 |
903 |
$23K |
| 96160 |
|
8,889 |
7,478 |
$21K |
| 90670 |
|
945 |
781 |
$21K |
| 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) |
1,031 |
835 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,605 |
1,327 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
830 |
771 |
$13K |
| 96127 |
|
2,536 |
2,117 |
$11K |
| 99050 |
|
911 |
742 |
$11K |
| 90716 |
|
416 |
338 |
$9K |
| 99173 |
|
4,811 |
4,143 |
$9K |
| 90707 |
|
375 |
306 |
$8K |
| 90633 |
|
365 |
299 |
$8K |
| 90680 |
|
374 |
312 |
$8K |
| 99215 |
Prolong outpt/office vis |
47 |
40 |
$8K |
| 90461 |
|
289 |
273 |
$7K |
| 90651 |
|
261 |
220 |
$6K |
| 90619 |
|
266 |
182 |
$6K |
| 90744 |
|
267 |
196 |
$5K |
| D1206 |
Topical application of fluoride varnish |
197 |
188 |
$5K |
| 90734 |
|
176 |
175 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
85 |
$4K |
| 87807 |
|
385 |
293 |
$4K |
| 90677 |
|
94 |
88 |
$2K |
| 99051 |
|
137 |
117 |
$2K |
| 90656 |
|
57 |
57 |
$1K |
| 90715 |
|
50 |
49 |
$1K |
| 94761 |
|
787 |
592 |
$842.09 |
| 90696 |
|
28 |
28 |
$651.84 |
| 69210 |
|
18 |
14 |
$614.74 |
| 92551 |
|
25 |
25 |
$243.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
15 |
$202.97 |
| 81002 |
|
30 |
26 |
$74.45 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$26.29 |
| 99072 |
|
528 |
460 |
$6.57 |
| INVCD |
|
62 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
15 |
$0.00 |