| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,256 |
73,938 |
$5.17M |
| 99199 |
Unlisted special service, procedure or report |
680,585 |
310,287 |
$3.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,024 |
25,478 |
$2.60M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,907 |
15,648 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,541 |
14,816 |
$1.43M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,306 |
13,634 |
$1.38M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49,697 |
43,500 |
$945K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29,434 |
25,755 |
$900K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,442 |
7,106 |
$818K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
10,309 |
9,172 |
$647K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17,394 |
15,539 |
$501K |
| D0145 |
Oral evaluation for a patient under three years of age |
13,346 |
11,958 |
$453K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,021 |
6,527 |
$385K |
| 99401 |
|
11,290 |
8,518 |
$343K |
| 99051 |
|
10,025 |
9,133 |
$253K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23,367 |
20,745 |
$234K |
| D1206 |
Topical application of fluoride varnish |
13,344 |
11,957 |
$200K |
| 90474 |
|
8,448 |
7,445 |
$163K |
| 87070 |
|
15,563 |
13,900 |
$157K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,231 |
2,711 |
$127K |
| 96127 |
|
14,479 |
12,366 |
$81K |
| 90651 |
|
2,788 |
2,379 |
$70K |
| 99381 |
|
706 |
605 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,445 |
1,290 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,439 |
3,272 |
$47K |
| 80061 |
Lipid panel |
2,696 |
2,185 |
$41K |
| 96161 |
|
10,237 |
8,933 |
$36K |
| 92551 |
|
30,421 |
27,054 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,341 |
1,131 |
$31K |
| 0002A |
|
489 |
440 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,411 |
968 |
$27K |
| 0001A |
|
541 |
403 |
$26K |
| 83655 |
|
1,874 |
1,681 |
$24K |
| 0071A |
|
395 |
323 |
$23K |
| 0072A |
|
339 |
286 |
$22K |
| 94010 |
|
905 |
782 |
$22K |
| 90734 |
|
1,099 |
923 |
$20K |
| 90686 |
|
16,251 |
14,284 |
$20K |
| 99173 |
|
30,441 |
27,097 |
$18K |
| 85018 |
|
7,611 |
6,490 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,669 |
1,412 |
$15K |
| 87634 |
|
513 |
400 |
$15K |
| 87807 |
|
1,098 |
909 |
$14K |
| 96160 |
|
3,884 |
3,197 |
$13K |
| 90620 |
|
831 |
695 |
$9K |
| 69210 |
|
201 |
193 |
$9K |
| 90619 |
|
819 |
661 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
815 |
659 |
$8K |
| 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) |
1,604 |
1,466 |
$7K |
| 0003A |
|
97 |
78 |
$6K |
| 0053A |
|
91 |
72 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
38 |
$4K |
| 99442 |
|
84 |
64 |
$4K |
| E0570 |
Nebulizer, with compressor |
27 |
27 |
$4K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
80 |
76 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
20 |
20 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$3K |
| 90715 |
|
349 |
280 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
184 |
174 |
$2K |
| 96380 |
|
100 |
98 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
53 |
$920.68 |
| 90473 |
|
42 |
40 |
$858.90 |
| 0124A |
|
15 |
12 |
$845.00 |
| 82947 |
|
174 |
131 |
$808.67 |
| 81001 |
|
227 |
200 |
$807.27 |
| 90633 |
|
4,433 |
4,035 |
$787.54 |
| 90661 |
|
1,381 |
1,335 |
$489.75 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
128 |
$449.32 |
| 94664 |
|
37 |
37 |
$412.14 |
| 99441 |
|
12 |
12 |
$407.16 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
40 |
37 |
$376.14 |
| 90677 |
|
1,798 |
1,735 |
$260.81 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
27 |
27 |
$247.09 |
| 90670 |
|
12,096 |
10,593 |
$220.26 |
| 90672 |
|
148 |
146 |
$118.20 |
| 94760 |
|
1,294 |
1,116 |
$110.61 |
| 81025 |
|
17 |
13 |
$109.20 |
| 91300 |
|
687 |
539 |
$25.57 |
| 90710 |
|
978 |
867 |
$0.00 |
| 90700 |
|
163 |
157 |
$0.00 |
| 90685 |
|
194 |
193 |
$0.00 |
| 90707 |
|
194 |
191 |
$0.00 |
| 99072 |
|
971 |
934 |
$0.00 |
| 90687 |
|
19 |
19 |
$0.00 |
| 91312 |
|
15 |
12 |
$0.00 |
| 91311 |
|
27 |
15 |
$0.00 |
| 90680 |
|
8,357 |
7,428 |
$0.00 |
| 90698 |
|
8,211 |
7,221 |
$0.00 |
| 90744 |
|
2,867 |
2,510 |
$0.00 |
| 90688 |
|
146 |
143 |
$0.00 |
| 90697 |
|
2,357 |
2,077 |
$0.00 |
| 99000 |
|
4,293 |
3,258 |
$0.00 |
| 91305 |
|
130 |
99 |
$0.00 |
| 90696 |
|
312 |
277 |
$0.00 |
| 1005F |
|
244 |
231 |
$0.00 |
| 90723 |
|
93 |
89 |
$0.00 |
| 99174 |
|
131 |
107 |
$0.00 |
| 91307 |
|
790 |
590 |
$0.00 |
| 90647 |
|
146 |
141 |
$0.00 |
| 90381 |
|
30 |
30 |
$0.00 |
| 90716 |
|
194 |
190 |
$0.00 |