| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,524 |
28,622 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,846 |
9,213 |
$442K |
| 87428 |
|
870 |
852 |
$65K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,271 |
1,208 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
847 |
806 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,319 |
1,717 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,390 |
3,248 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,010 |
996 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,397 |
4,080 |
$37K |
| 99215 |
Prolong outpt/office vis |
485 |
453 |
$29K |
| 80047 |
|
2,662 |
2,426 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
9,315 |
8,590 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
470 |
450 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,268 |
1,215 |
$8K |
| 90686 |
|
548 |
528 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
277 |
265 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
756 |
707 |
$6K |
| 81003 |
|
2,350 |
2,113 |
$5K |
| 80061 |
Lipid panel |
433 |
409 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
143 |
133 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
41 |
$3K |
| 0001A |
|
78 |
77 |
$3K |
| 85027 |
|
513 |
496 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
28 |
$2K |
| 87807 |
|
103 |
100 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
546 |
477 |
$2K |
| 81025 |
|
207 |
195 |
$2K |
| 0002A |
|
38 |
38 |
$1K |
| 74019 |
|
42 |
38 |
$1K |
| 99205 |
Prolong outpt/office vis |
20 |
20 |
$681.70 |
| 0003A |
|
16 |
15 |
$562.40 |
| 93000 |
|
29 |
27 |
$540.98 |
| 82570 |
|
84 |
79 |
$332.97 |
| 82044 |
|
84 |
79 |
$294.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$208.26 |
| 90734 |
|
30 |
29 |
$120.34 |
| 90656 |
|
12 |
12 |
$106.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$27.44 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$20.00 |
| 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) |
26 |
24 |
$5.46 |
| 90651 |
|
28 |
27 |
$0.01 |
| 91300 |
|
245 |
220 |
$0.00 |