| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,032 |
63,221 |
$5.47M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,103 |
10,551 |
$1.42M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,088 |
8,337 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,702 |
7,654 |
$921K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34,211 |
29,498 |
$710K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,804 |
5,951 |
$650K |
| 90461 |
|
14,115 |
11,738 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,400 |
1,079 |
$130K |
| 87428 |
|
2,291 |
1,834 |
$52K |
| 90671 |
|
520 |
513 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
317 |
305 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,035 |
890 |
$17K |
| 90686 |
|
6,727 |
6,161 |
$14K |
| 99051 |
|
3,584 |
3,407 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
939 |
818 |
$8K |
| 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) |
1,591 |
1,439 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,435 |
737 |
$7K |
| 90698 |
|
2,360 |
1,858 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
629 |
578 |
$7K |
| 99188 |
|
596 |
551 |
$6K |
| 96127 |
|
4,217 |
3,327 |
$6K |
| 90670 |
|
4,432 |
3,561 |
$3K |
| 83655 |
|
306 |
262 |
$2K |
| 96160 |
|
1,571 |
1,524 |
$2K |
| 85018 |
|
1,387 |
1,123 |
$1K |
| 80061 |
Lipid panel |
328 |
233 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,020 |
820 |
$1K |
| 92551 |
|
12,796 |
9,955 |
$802.44 |
| 99177 |
|
12,175 |
9,484 |
$724.67 |
| 90633 |
|
850 |
735 |
$538.13 |
| 87807 |
|
38 |
36 |
$342.54 |
| 99462 |
|
22 |
12 |
$325.77 |
| 96161 |
|
504 |
442 |
$268.47 |
| 0001A |
|
13 |
12 |
$200.00 |
| 91300 |
|
18 |
15 |
$196.20 |
| 90685 |
|
106 |
101 |
$158.91 |
| 99173 |
|
5,594 |
4,500 |
$158.52 |
| 90656 |
|
203 |
203 |
$138.54 |
| 99050 |
|
31 |
30 |
$95.12 |
| 90688 |
|
16 |
13 |
$72.03 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$42.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$36.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
12 |
$34.58 |
| 90744 |
|
727 |
632 |
$24.01 |
| 90651 |
|
80 |
73 |
$24.01 |
| 36416 |
|
4,676 |
3,523 |
$2.45 |
| 90680 |
|
1,500 |
1,241 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90710 |
|
42 |
24 |
$0.00 |
| 90734 |
|
81 |
39 |
$0.00 |