| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,350 |
84,809 |
$6.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,849 |
18,372 |
$2.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,983 |
37,585 |
$1.75M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,698 |
7,460 |
$956K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19,664 |
18,827 |
$889K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,852 |
5,722 |
$718K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,389 |
5,795 |
$708K |
| 96127 |
|
16,967 |
16,336 |
$344K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,586 |
10,671 |
$324K |
| 99174 |
|
14,657 |
14,173 |
$271K |
| 96160 |
|
12,846 |
12,443 |
$256K |
| 99051 |
|
31,341 |
29,761 |
$234K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,655 |
1,624 |
$220K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,762 |
9,552 |
$203K |
| 99215 |
Prolong outpt/office vis |
1,461 |
1,398 |
$186K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,462 |
8,136 |
$166K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,891 |
12,140 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,951 |
7,706 |
$82K |
| 92551 |
|
10,401 |
10,123 |
$63K |
| 99245 |
|
332 |
299 |
$42K |
| 36416 |
|
13,151 |
12,727 |
$42K |
| 96161 |
|
962 |
932 |
$17K |
| 99177 |
|
730 |
724 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,858 |
1,821 |
$13K |
| 99188 |
|
378 |
367 |
$9K |
| D0145 |
Oral evaluation for a patient under three years of age |
282 |
279 |
$6K |
| 90686 |
|
17,394 |
16,939 |
$6K |
| 0072A |
|
150 |
145 |
$6K |
| 0071A |
|
149 |
142 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$4K |
| 99070 |
|
373 |
348 |
$3K |
| 83718 |
|
411 |
406 |
$3K |
| 99417 |
Prolong home eval add 15m |
47 |
45 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
49 |
$2K |
| D1206 |
Topical application of fluoride varnish |
108 |
106 |
$2K |
| 96132 |
|
18 |
12 |
$2K |
| 90651 |
|
181 |
178 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$480.68 |
| 90621 |
|
12 |
12 |
$379.02 |
| 85018 |
|
8,173 |
7,939 |
$147.47 |
| 90633 |
|
132 |
129 |
$36.99 |
| 90715 |
|
13 |
13 |
$33.64 |
| 90677 |
|
325 |
269 |
$0.26 |
| 99000 |
|
873 |
846 |
$0.00 |
| 90680 |
|
943 |
891 |
$0.00 |
| 90656 |
|
2,387 |
2,233 |
$0.00 |
| 90619 |
|
96 |
96 |
$0.00 |
| 91307 |
|
378 |
363 |
$0.00 |
| 91305 |
|
19 |
16 |
$0.00 |
| 90744 |
|
139 |
132 |
$0.00 |
| 90700 |
|
4,419 |
4,275 |
$0.00 |
| 90670 |
|
1,765 |
1,736 |
$0.00 |
| 90713 |
|
2,627 |
2,524 |
$0.00 |
| 90648 |
|
2,453 |
2,351 |
$0.00 |
| 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) |
142 |
129 |
$0.00 |
| 90685 |
|
551 |
545 |
$0.00 |
| 90671 |
|
267 |
257 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 91300 |
|
18 |
17 |
$0.00 |