| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,437 |
28,665 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,973 |
18,917 |
$992K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,330 |
2,301 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,476 |
2,336 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,140 |
1,128 |
$90K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
475 |
470 |
$64K |
| 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) |
7,022 |
6,654 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,138 |
979 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,137 |
2,072 |
$41K |
| 90686 |
|
2,474 |
2,458 |
$22K |
| 99215 |
Prolong outpt/office vis |
272 |
240 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
191 |
$14K |
| G0008 |
Administration of influenza virus vaccine |
1,243 |
1,231 |
$12K |
| 90670 |
|
1,226 |
1,222 |
$12K |
| 90723 |
|
1,156 |
1,144 |
$11K |
| 90647 |
|
1,114 |
1,098 |
$11K |
| 90680 |
|
977 |
966 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,149 |
1,112 |
$7K |
| 90715 |
|
798 |
793 |
$7K |
| 99243 |
|
93 |
93 |
$7K |
| 90732 |
|
57 |
57 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
493 |
471 |
$6K |
| 76830 |
Ultrasound, transvaginal |
76 |
76 |
$6K |
| 90750 |
|
85 |
84 |
$5K |
| 90677 |
|
741 |
723 |
$4K |
| 90633 |
|
375 |
374 |
$3K |
| 59025 |
Fetal non-stress test |
151 |
83 |
$3K |
| 0124A |
|
60 |
54 |
$2K |
| 0001A |
|
59 |
58 |
$2K |
| T1001 |
Nursing assessment / evaluation |
12 |
12 |
$2K |
| 90656 |
|
490 |
490 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 0004A |
|
35 |
35 |
$1K |
| 90651 |
|
50 |
50 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
60 |
$1K |
| 99459 |
|
100 |
97 |
$1K |
| 81003 |
|
346 |
339 |
$1K |
| 0054A |
|
26 |
26 |
$1K |
| 92551 |
|
1,279 |
1,273 |
$861.47 |
| 81025 |
|
212 |
205 |
$861.32 |
| 0052A |
|
19 |
19 |
$782.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$637.46 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
62 |
61 |
$581.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$527.12 |
| 99188 |
|
25 |
25 |
$481.14 |
| 99177 |
|
386 |
384 |
$315.92 |
| 90648 |
|
26 |
26 |
$265.90 |
| 90710 |
|
25 |
25 |
$252.60 |
| G0009 |
Administration of pneumococcal vaccine |
26 |
25 |
$249.60 |
| 99173 |
|
575 |
575 |
$196.19 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
98 |
$180.75 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$159.16 |
| 90681 |
|
13 |
13 |
$136.30 |
| 90716 |
|
13 |
13 |
$133.89 |
| 90707 |
|
13 |
13 |
$133.89 |
| 90696 |
|
12 |
12 |
$129.60 |
| 90700 |
|
12 |
12 |
$129.30 |
| 90734 |
|
13 |
13 |
$123.00 |
| 83655 |
|
731 |
727 |
$110.75 |
| 86580 |
|
260 |
221 |
$90.04 |
| 96127 |
|
102 |
100 |
$42.22 |
| 3074F |
|
26 |
26 |
$41.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
428 |
408 |
$26.56 |
| 3079F |
|
12 |
12 |
$21.19 |
| 3008F |
|
167 |
163 |
$0.00 |
| 85018 |
|
52 |
52 |
$0.00 |
| 90739 |
|
100 |
100 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
68 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
27 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
27 |
25 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
279 |
278 |
$0.00 |