| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,620 |
14,452 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,920 |
15,511 |
$858K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,476 |
7,235 |
$273K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,979 |
1,888 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,237 |
3,056 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,771 |
1,670 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,744 |
8,439 |
$105K |
| 36415 |
Collection of venous blood by venipuncture |
17,870 |
16,108 |
$69K |
| 99215 |
Prolong outpt/office vis |
525 |
499 |
$58K |
| X5622 |
|
2,552 |
2,476 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
724 |
697 |
$49K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,346 |
1,175 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,571 |
4,443 |
$35K |
| 99188 |
|
3,578 |
3,415 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,539 |
4,164 |
$29K |
| 90686 |
|
4,841 |
4,686 |
$29K |
| 80061 |
Lipid panel |
1,832 |
1,803 |
$22K |
| 92551 |
|
3,301 |
3,174 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,171 |
2,090 |
$20K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,839 |
1,810 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,033 |
985 |
$14K |
| 91320 |
|
122 |
120 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
178 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
977 |
936 |
$12K |
| 90677 |
|
318 |
298 |
$9K |
| 87428 |
|
214 |
210 |
$9K |
| 90670 |
|
1,252 |
1,173 |
$8K |
| 90688 |
|
1,129 |
1,088 |
$6K |
| 85027 |
|
1,136 |
1,091 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
371 |
261 |
$6K |
| 90656 |
|
641 |
636 |
$5K |
| 99173 |
|
3,434 |
3,335 |
$5K |
| 90694 |
|
101 |
101 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
122 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
297 |
293 |
$5K |
| 0004A |
|
115 |
110 |
$4K |
| 90480 |
|
123 |
121 |
$4K |
| 0124A |
|
105 |
101 |
$4K |
| 90653 |
|
74 |
74 |
$3K |
| 90715 |
|
280 |
262 |
$3K |
| 85018 |
|
1,662 |
1,606 |
$3K |
| 90461 |
|
2,465 |
2,302 |
$3K |
| 90651 |
|
234 |
223 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
451 |
424 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
346 |
325 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
65 |
65 |
$2K |
| 0011A |
|
108 |
107 |
$2K |
| 90746 |
|
31 |
26 |
$2K |
| 0012A |
|
94 |
93 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 87070 |
|
132 |
130 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
37 |
37 |
$1K |
| 87081 |
|
161 |
153 |
$977.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
28 |
$896.12 |
| 0001A |
|
36 |
35 |
$801.38 |
| 0071A |
|
20 |
19 |
$753.45 |
| 82570 |
|
151 |
151 |
$713.73 |
| G0008 |
Administration of influenza virus vaccine |
122 |
119 |
$697.81 |
| 81025 |
|
115 |
105 |
$668.30 |
| 0064A |
|
16 |
16 |
$621.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
73 |
70 |
$598.54 |
| 0002A |
|
15 |
14 |
$577.67 |
| 81003 |
|
375 |
341 |
$570.74 |
| 36416 |
|
282 |
258 |
$541.76 |
| 0003A |
|
16 |
16 |
$529.32 |
| 86780 |
|
38 |
38 |
$481.95 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$457.35 |
| 83655 |
|
34 |
32 |
$419.24 |
| 0013A |
|
12 |
12 |
$364.10 |
| 90734 |
|
131 |
121 |
$358.54 |
| 84439 |
|
38 |
38 |
$328.95 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
29 |
28 |
$318.35 |
| 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) |
37 |
36 |
$246.80 |
| 96161 |
|
173 |
161 |
$244.94 |
| 90723 |
|
680 |
622 |
$225.59 |
| 82947 |
|
59 |
56 |
$193.41 |
| 96127 |
|
56 |
56 |
$181.01 |
| 86703 |
|
12 |
12 |
$168.08 |
| 82043 |
|
26 |
26 |
$137.72 |
| 90716 |
|
33 |
25 |
$117.00 |
| 90633 |
|
392 |
361 |
$83.15 |
| 90647 |
|
689 |
632 |
$72.04 |
| 90681 |
|
71 |
66 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |