| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,016 |
20,609 |
$1.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,118 |
7,426 |
$650K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,221 |
4,845 |
$241K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,698 |
9,077 |
$184K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,764 |
1,672 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
816 |
806 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
793 |
769 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,212 |
3,934 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
625 |
601 |
$54K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,565 |
2,285 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
626 |
588 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,932 |
2,888 |
$36K |
| 92552 |
|
1,468 |
1,421 |
$35K |
| 90677 |
|
148 |
148 |
$30K |
| 90686 |
|
4,247 |
4,101 |
$24K |
| 96127 |
|
6,495 |
4,203 |
$23K |
| 92587 |
|
1,785 |
1,530 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,083 |
1,008 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,870 |
1,799 |
$20K |
| 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) |
3,344 |
3,027 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
271 |
245 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,056 |
1,968 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
121 |
$9K |
| 90461 |
|
973 |
867 |
$7K |
| 99173 |
|
3,484 |
3,348 |
$7K |
| 90656 |
|
625 |
618 |
$7K |
| 81002 |
|
3,964 |
3,838 |
$6K |
| 90670 |
|
276 |
273 |
$5K |
| 99188 |
|
497 |
472 |
$4K |
| 85018 |
|
2,747 |
2,657 |
$4K |
| 99051 |
|
2,490 |
2,329 |
$3K |
| 87634 |
|
108 |
94 |
$3K |
| 80061 |
Lipid panel |
377 |
352 |
$3K |
| 90651 |
|
77 |
76 |
$2K |
| 99174 |
|
450 |
448 |
$2K |
| 90698 |
|
482 |
456 |
$2K |
| 91321 |
|
13 |
13 |
$2K |
| 90480 |
|
59 |
59 |
$1K |
| 90716 |
|
82 |
78 |
$1K |
| 90680 |
|
252 |
238 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 90707 |
|
66 |
64 |
$904.86 |
| 99383 |
|
15 |
15 |
$750.00 |
| 90633 |
|
127 |
123 |
$705.24 |
| 90661 |
|
33 |
33 |
$683.10 |
| 99382 |
|
12 |
12 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$533.64 |
| 0072A |
|
13 |
13 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$414.00 |
| 87807 |
|
37 |
34 |
$218.18 |
| 99000 |
|
1,735 |
1,629 |
$122.15 |
| 90744 |
|
152 |
147 |
$109.44 |
| 36416 |
|
4,800 |
4,577 |
$100.86 |
| 87081 |
|
27 |
27 |
$91.53 |
| 96160 |
|
1,022 |
595 |
$86.39 |
| 82948 |
|
38 |
38 |
$52.37 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$23.10 |
| 94760 |
|
194 |
156 |
$3.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,617 |
3,144 |
$0.00 |
| 99070 |
|
46 |
44 |
$0.00 |