| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,243 |
17,689 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,757 |
6,157 |
$491K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,807 |
4,686 |
$422K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,040 |
3,764 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,686 |
2,421 |
$208K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,388 |
6,592 |
$156K |
| 99215 |
Prolong outpt/office vis |
1,455 |
1,277 |
$154K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,916 |
10,768 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,693 |
1,595 |
$122K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,489 |
2,272 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,979 |
1,829 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,131 |
7,375 |
$46K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
754 |
659 |
$39K |
| 87428 |
|
1,081 |
999 |
$34K |
| 99205 |
Prolong outpt/office vis |
205 |
178 |
$29K |
| 96127 |
|
7,081 |
6,510 |
$25K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,210 |
1,158 |
$19K |
| 87634 |
|
280 |
255 |
$17K |
| 80061 |
Lipid panel |
1,699 |
1,512 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,962 |
1,700 |
$15K |
| 36416 |
|
5,807 |
5,151 |
$15K |
| 99188 |
|
2,266 |
2,050 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
316 |
$12K |
| 96161 |
|
5,173 |
4,645 |
$10K |
| 82947 |
|
2,766 |
2,411 |
$8K |
| 99177 |
|
2,504 |
2,314 |
$8K |
| 92551 |
|
1,146 |
1,104 |
$6K |
| 90473 |
|
327 |
292 |
$4K |
| 90474 |
|
319 |
285 |
$4K |
| 90670 |
|
3,312 |
2,913 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
197 |
$3K |
| 83655 |
|
366 |
328 |
$3K |
| 99460 |
|
42 |
37 |
$3K |
| 0072A |
|
110 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
74 |
$2K |
| 92587 |
|
384 |
288 |
$2K |
| 0071A |
|
126 |
80 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
43 |
36 |
$2K |
| 95251 |
|
65 |
55 |
$2K |
| 99000 |
|
709 |
635 |
$1K |
| 90651 |
|
388 |
365 |
$1K |
| 96160 |
|
506 |
455 |
$702.67 |
| 87807 |
|
78 |
69 |
$453.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$441.68 |
| 90686 |
|
2,766 |
2,579 |
$431.81 |
| 90723 |
|
1,812 |
1,575 |
$403.43 |
| 90681 |
|
323 |
290 |
$252.67 |
| 90647 |
|
1,732 |
1,558 |
$197.11 |
| 92552 |
|
15 |
12 |
$136.88 |
| 85018 |
|
76 |
75 |
$131.41 |
| 90672 |
|
528 |
494 |
$74.46 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
108 |
$43.90 |
| 99174 |
|
15 |
14 |
$37.31 |
| 90633 |
|
665 |
597 |
$33.39 |
| 82009 |
|
15 |
13 |
$31.16 |
| 94760 |
|
61 |
60 |
$30.54 |
| 90661 |
|
81 |
77 |
$21.98 |
| 99072 |
|
389 |
328 |
$15.08 |
| 90660 |
|
22 |
21 |
$1.74 |
| 90734 |
|
187 |
175 |
$0.05 |
| 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) |
938 |
840 |
$0.00 |
| 90710 |
|
200 |
192 |
$0.00 |
| 90715 |
|
28 |
26 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90674 |
|
281 |
258 |
$0.00 |
| 90677 |
|
82 |
76 |
$0.00 |
| 91307 |
|
234 |
160 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |