| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,273 |
4,373 |
$624K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,190 |
4,346 |
$426K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,804 |
3,220 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,057 |
983 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,161 |
965 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
753 |
695 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
733 |
695 |
$78K |
| 99215 |
Prolong outpt/office vis |
454 |
379 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,171 |
1,065 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,257 |
2,515 |
$56K |
| 90686 |
|
1,807 |
1,588 |
$37K |
| 90677 |
|
266 |
245 |
$32K |
| 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) |
1,666 |
1,283 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,012 |
1,756 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,292 |
2,037 |
$21K |
| 92551 |
|
2,173 |
2,014 |
$19K |
| 91321 |
|
140 |
121 |
$13K |
| 96127 |
|
2,305 |
1,515 |
$12K |
| 87807 |
|
1,277 |
1,065 |
$12K |
| 90670 |
|
513 |
472 |
$11K |
| 90723 |
|
488 |
442 |
$10K |
| 90480 |
|
292 |
254 |
$10K |
| 90648 |
|
431 |
403 |
$9K |
| 90680 |
|
414 |
375 |
$8K |
| D1206 |
Topical application of fluoride varnish |
367 |
322 |
$8K |
| 94760 |
|
5,387 |
4,572 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
51 |
$7K |
| 91322 |
|
49 |
44 |
$7K |
| 0072A |
|
157 |
154 |
$6K |
| 0071A |
|
153 |
153 |
$6K |
| 90651 |
|
221 |
214 |
$6K |
| 90656 |
|
298 |
257 |
$6K |
| 90647 |
|
278 |
255 |
$6K |
| 83655 |
|
568 |
518 |
$5K |
| 99173 |
|
2,172 |
2,017 |
$5K |
| 99177 |
|
1,094 |
1,020 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
122 |
66 |
$5K |
| 90633 |
|
209 |
201 |
$5K |
| 0004A |
|
99 |
98 |
$4K |
| 96160 |
|
1,509 |
1,387 |
$4K |
| 0002A |
|
95 |
95 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,939 |
2,039 |
$3K |
| 0001A |
|
90 |
87 |
$3K |
| 96161 |
|
1,345 |
1,021 |
$3K |
| 90734 |
|
112 |
109 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
40 |
$2K |
| 0134A |
|
49 |
45 |
$2K |
| 0124A |
|
69 |
51 |
$2K |
| 92587 |
|
91 |
85 |
$2K |
| 90621 |
|
70 |
67 |
$2K |
| 90715 |
|
58 |
54 |
$1K |
| 90661 |
|
102 |
61 |
$1K |
| 85018 |
|
637 |
584 |
$1K |
| 0074A |
|
29 |
28 |
$1K |
| 90619 |
|
18 |
16 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
34 |
$977.35 |
| 90461 |
|
860 |
748 |
$577.50 |
| 0054A |
|
15 |
15 |
$560.00 |
| 99051 |
|
43 |
42 |
$428.52 |
| 96380 |
|
87 |
54 |
$343.62 |
| 90380 |
|
15 |
12 |
$279.33 |
| 92558 |
|
612 |
576 |
$184.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$46.56 |
| 86580 |
|
17 |
12 |
$30.32 |
| 36416 |
|
830 |
592 |
$15.00 |
| 99000 |
|
3,200 |
2,457 |
$3.00 |
| 91312 |
|
69 |
51 |
$0.00 |
| 91300 |
|
349 |
315 |
$0.00 |
| 91313 |
|
49 |
45 |
$0.00 |
| 91311 |
|
68 |
53 |
$0.00 |
| 99072 |
|
300 |
221 |
$0.00 |
| 91307 |
|
406 |
351 |
$0.00 |
| 91305 |
|
30 |
28 |
$0.00 |
| 91314 |
|
17 |
14 |
$0.00 |
| 91315 |
|
13 |
12 |
$0.00 |