| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,572 |
18,043 |
$790K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,725 |
9,880 |
$670K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,420 |
15,787 |
$573K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,529 |
8,685 |
$466K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,684 |
8,293 |
$461K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,685 |
3,588 |
$192K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
871 |
826 |
$112K |
| 99174 |
|
6,977 |
6,690 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
848 |
826 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,563 |
6,176 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,559 |
3,336 |
$39K |
| 99188 |
|
2,150 |
2,031 |
$35K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,050 |
2,017 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
982 |
908 |
$24K |
| 3008F |
|
2,282 |
2,199 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
452 |
436 |
$17K |
| 83655 |
|
1,553 |
1,479 |
$14K |
| 99051 |
|
643 |
610 |
$13K |
| 36416 |
|
4,690 |
4,469 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
658 |
650 |
$11K |
| 96127 |
|
2,314 |
2,170 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
158 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
864 |
422 |
$8K |
| 90670 |
|
4,878 |
4,765 |
$8K |
| 0071A |
|
76 |
76 |
$7K |
| 0072A |
|
70 |
70 |
$6K |
| 99050 |
|
357 |
346 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
72 |
68 |
$5K |
| 85018 |
|
1,745 |
1,661 |
$3K |
| 99173 |
|
1,424 |
1,381 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
89 |
88 |
$2K |
| 90686 |
|
5,638 |
5,462 |
$2K |
| 0001A |
|
27 |
27 |
$2K |
| 90480 |
|
48 |
45 |
$2K |
| 90723 |
|
4,523 |
4,379 |
$2K |
| 0002A |
|
33 |
33 |
$1K |
| 80061 |
Lipid panel |
110 |
110 |
$1K |
| 99460 |
|
14 |
14 |
$996.48 |
| 90648 |
|
6,299 |
6,103 |
$930.06 |
| 90651 |
|
119 |
116 |
$921.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$667.80 |
| 96161 |
|
206 |
182 |
$621.27 |
| 90716 |
|
239 |
223 |
$607.93 |
| 90671 |
|
1,059 |
993 |
$519.01 |
| 90734 |
|
78 |
76 |
$431.56 |
| 90707 |
|
257 |
246 |
$430.53 |
| 69210 |
|
14 |
13 |
$333.22 |
| 90677 |
|
249 |
240 |
$313.36 |
| 90710 |
|
120 |
119 |
$249.97 |
| 96380 |
|
13 |
13 |
$210.24 |
| 92552 |
|
15 |
14 |
$147.00 |
| 90715 |
|
30 |
28 |
$112.46 |
| 90696 |
|
68 |
68 |
$60.06 |
| 90633 |
|
2,018 |
1,980 |
$45.42 |
| 90700 |
|
205 |
200 |
$35.70 |
| 82947 |
|
12 |
12 |
$31.00 |
| 90681 |
|
2,153 |
2,087 |
$5.39 |
| 91307 |
|
182 |
174 |
$1.64 |
| 90672 |
|
222 |
216 |
$1.23 |
| 91300 |
|
118 |
111 |
$1.14 |
| 90656 |
|
329 |
320 |
$0.34 |
| 91308 |
|
15 |
13 |
$0.15 |
| 90660 |
|
92 |
90 |
$0.09 |
| 99072 |
|
10,154 |
9,106 |
$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) |
97 |
92 |
$0.00 |