| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,924 |
47,295 |
$3.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,470 |
20,383 |
$1.94M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,102 |
9,097 |
$743K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,522 |
8,506 |
$696K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,169 |
28,992 |
$687K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,002 |
5,761 |
$459K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,463 |
4,459 |
$393K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,836 |
6,754 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,229 |
3,101 |
$36K |
| 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) |
3,906 |
3,663 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,242 |
12,046 |
$29K |
| 99441 |
|
1,090 |
921 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
849 |
832 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
542 |
$24K |
| 96127 |
|
6,548 |
6,522 |
$23K |
| 99051 |
|
3,878 |
3,783 |
$22K |
| 99442 |
|
473 |
371 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,554 |
3,401 |
$17K |
| 99401 |
|
2,886 |
2,621 |
$16K |
| D1206 |
Topical application of fluoride varnish |
460 |
459 |
$13K |
| 99215 |
Prolong outpt/office vis |
99 |
97 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,582 |
1,559 |
$13K |
| 99188 |
|
1,125 |
1,123 |
$11K |
| 99495 |
|
485 |
478 |
$9K |
| 87807 |
|
915 |
896 |
$9K |
| 69210 |
|
160 |
153 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
113 |
112 |
$4K |
| 90686 |
|
5,132 |
5,127 |
$3K |
| 83655 |
|
324 |
324 |
$3K |
| 96160 |
|
4,802 |
4,788 |
$3K |
| 90621 |
|
68 |
68 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 96161 |
|
1,684 |
1,500 |
$2K |
| 90651 |
|
775 |
774 |
$2K |
| 97802 |
|
2,095 |
2,066 |
$2K |
| 99050 |
|
237 |
231 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
559 |
553 |
$1K |
| 90677 |
|
661 |
661 |
$1K |
| 87088 |
|
130 |
124 |
$792.79 |
| 81002 |
|
369 |
351 |
$524.08 |
| 99173 |
|
4,557 |
4,549 |
$435.93 |
| 90656 |
|
529 |
529 |
$305.89 |
| 90716 |
|
149 |
149 |
$170.00 |
| 99421 |
|
12 |
12 |
$121.14 |
| 99408 |
|
358 |
352 |
$103.45 |
| 86308 |
|
25 |
25 |
$100.31 |
| 90707 |
|
196 |
196 |
$93.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$92.55 |
| 90744 |
|
125 |
125 |
$28.31 |
| 97803 |
|
44 |
41 |
$22.22 |
| 36415 |
Collection of venous blood by venipuncture |
927 |
922 |
$14.89 |
| 94760 |
|
287 |
261 |
$10.07 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$8.28 |
| 36416 |
|
9,808 |
9,592 |
$4.06 |
| 99072 |
|
20,566 |
19,371 |
$0.79 |
| 90671 |
|
554 |
554 |
$0.00 |
| 90670 |
|
2,063 |
2,062 |
$0.00 |
| 90685 |
|
304 |
304 |
$0.00 |
| 90633 |
|
186 |
186 |
$0.00 |
| 90734 |
|
92 |
92 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90698 |
|
2,468 |
2,467 |
$0.00 |
| 90680 |
|
724 |
723 |
$0.00 |
| 91307 |
|
164 |
151 |
$0.00 |
| 99058 |
|
149 |
149 |
$0.00 |
| 90619 |
|
80 |
80 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
14 |
13 |
$0.00 |