| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,615 |
32,770 |
$2.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,163 |
18,127 |
$2.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,544 |
8,342 |
$1.30M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,364 |
7,524 |
$1.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,403 |
5,296 |
$736K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,940 |
22,130 |
$482K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,918 |
1,868 |
$282K |
| 92552 |
|
13,158 |
12,837 |
$192K |
| 90461 |
|
9,107 |
8,712 |
$151K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,470 |
5,682 |
$105K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,464 |
5,266 |
$102K |
| 99188 |
|
7,435 |
7,221 |
$84K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,093 |
8,786 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,565 |
4,330 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,487 |
1,408 |
$41K |
| 90686 |
|
6,385 |
6,085 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,815 |
9,192 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
723 |
705 |
$23K |
| 96127 |
|
8,001 |
7,649 |
$21K |
| 99051 |
|
3,030 |
2,930 |
$16K |
| 92550 |
|
778 |
727 |
$7K |
| 83655 |
|
603 |
578 |
$4K |
| 91300 |
|
247 |
228 |
$4K |
| 80061 |
Lipid panel |
503 |
479 |
$4K |
| 90670 |
|
2,935 |
2,839 |
$3K |
| 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) |
1,757 |
1,373 |
$3K |
| 99080 |
|
3,137 |
2,663 |
$3K |
| 0071A |
|
85 |
69 |
$3K |
| 90633 |
|
505 |
493 |
$2K |
| 96161 |
|
1,709 |
1,628 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 94760 |
|
1,360 |
1,277 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
318 |
317 |
$2K |
| 90700 |
|
139 |
135 |
$1K |
| 0002A |
|
45 |
45 |
$920.00 |
| 90698 |
|
1,916 |
1,856 |
$588.12 |
| 36416 |
|
12,995 |
10,289 |
$397.63 |
| 90685 |
|
57 |
53 |
$329.30 |
| 90744 |
|
529 |
518 |
$300.98 |
| 99072 |
|
1,663 |
1,579 |
$287.57 |
| 0001A |
|
45 |
45 |
$240.00 |
| 99000 |
|
2,840 |
2,052 |
$232.91 |
| 99173 |
|
17,512 |
14,367 |
$145.05 |
| 90680 |
|
1,252 |
1,215 |
$144.04 |
| 87807 |
|
13 |
12 |
$108.99 |
| 90651 |
|
64 |
64 |
$96.04 |
| 90656 |
|
120 |
120 |
$57.75 |
| 69210 |
|
29 |
26 |
$51.87 |
| 81003 |
|
141 |
120 |
$16.28 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90677 |
|
365 |
355 |
$0.00 |
| 91307 |
|
184 |
145 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |