| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,995 |
12,849 |
$844K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,171 |
11,724 |
$504K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,615 |
9,084 |
$276K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,344 |
9,818 |
$263K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,893 |
1,763 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,966 |
1,749 |
$124K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,605 |
3,307 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,379 |
1,308 |
$95K |
| 99173 |
|
6,145 |
5,630 |
$92K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,660 |
8,793 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,413 |
1,333 |
$62K |
| 92551 |
|
5,259 |
4,794 |
$51K |
| 90461 |
|
1,729 |
1,579 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
600 |
574 |
$46K |
| 83718 |
|
4,681 |
4,258 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
402 |
351 |
$24K |
| 81000 |
|
6,889 |
6,243 |
$21K |
| 82465 |
|
4,540 |
4,118 |
$18K |
| 96127 |
|
3,812 |
2,955 |
$17K |
| 99408 |
|
1,412 |
1,200 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
545 |
483 |
$14K |
| 36416 |
|
9,614 |
8,763 |
$13K |
| 87634 |
|
219 |
205 |
$12K |
| 90686 |
|
3,062 |
2,948 |
$11K |
| 86318 |
|
400 |
364 |
$6K |
| 94760 |
|
1,940 |
1,550 |
$4K |
| 92567 |
|
242 |
209 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
133 |
$3K |
| 83655 |
|
138 |
126 |
$1K |
| 99174 |
|
57 |
53 |
$770.89 |
| 87807 |
|
60 |
52 |
$746.30 |
| 90685 |
|
24 |
24 |
$505.86 |
| 90633 |
|
28 |
28 |
$446.45 |
| 87430 |
|
32 |
25 |
$424.16 |
| 90672 |
|
13 |
13 |
$293.08 |
| 96160 |
|
390 |
365 |
$218.67 |
| 99051 |
|
110 |
106 |
$183.75 |
| 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) |
566 |
503 |
$120.70 |
| 97802 |
|
546 |
510 |
$109.37 |
| 99401 |
|
15 |
14 |
$105.64 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$60.00 |
| 99072 |
|
1,249 |
1,099 |
$14.64 |
| 90674 |
|
12 |
12 |
$7.00 |
| 3008F |
|
8,199 |
7,639 |
$6.88 |
| 2014F |
|
1,748 |
1,640 |
$3.02 |
| 90656 |
|
238 |
230 |
$0.90 |
| 90677 |
|
14 |
14 |
$0.05 |
| 90671 |
|
15 |
15 |
$0.02 |
| G9920 |
Screening performed and negative |
711 |
668 |
$0.00 |
| 888888 |
|
620 |
594 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |