| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,054 |
5,982 |
$446K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,791 |
2,965 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,533 |
2,712 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,713 |
3,508 |
$158K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,900 |
6,450 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,601 |
1,171 |
$77K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
697 |
539 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,768 |
3,771 |
$49K |
| 99215 |
Prolong outpt/office vis |
469 |
317 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,842 |
2,150 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,204 |
5,348 |
$27K |
| 97803 |
|
7,905 |
4,786 |
$20K |
| 99188 |
|
2,143 |
1,445 |
$20K |
| 92551 |
|
2,048 |
1,578 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,325 |
464 |
$11K |
| 90474 |
|
1,656 |
1,252 |
$11K |
| 99051 |
|
741 |
593 |
$10K |
| 85014 |
|
6,405 |
4,099 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
199 |
90 |
$9K |
| 80061 |
Lipid panel |
1,293 |
839 |
$9K |
| 87428 |
|
193 |
171 |
$9K |
| 83655 |
|
1,105 |
747 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
112 |
$5K |
| 87807 |
|
450 |
336 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
232 |
147 |
$4K |
| 99173 |
|
3,526 |
2,269 |
$4K |
| 97802 |
|
734 |
592 |
$3K |
| 82947 |
|
1,304 |
848 |
$3K |
| 81002 |
|
2,065 |
1,371 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
37 |
25 |
$2K |
| 99401 |
|
938 |
498 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$937.32 |
| 36416 |
|
7,128 |
4,171 |
$924.90 |
| 90480 |
|
91 |
56 |
$692.34 |
| 96161 |
|
1,929 |
1,171 |
$590.28 |
| 90677 |
|
248 |
152 |
$577.94 |
| 84030 |
|
214 |
181 |
$520.60 |
| 96380 |
|
96 |
53 |
$478.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$357.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
27 |
$281.12 |
| 94760 |
|
526 |
423 |
$198.93 |
| 96127 |
|
516 |
263 |
$154.50 |
| 90473 |
|
199 |
166 |
$135.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$94.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
37 |
$63.08 |
| 96113 |
|
16 |
13 |
$54.96 |
| 90633 |
|
1,034 |
777 |
$3.21 |
| 90671 |
|
335 |
184 |
$0.51 |
| 90381 |
|
84 |
53 |
$0.11 |
| 90651 |
|
68 |
56 |
$0.11 |
| 99177 |
|
591 |
336 |
$0.10 |
| 91321 |
|
70 |
45 |
$0.09 |
| 90680 |
|
248 |
196 |
$0.00 |
| 90698 |
|
2,008 |
1,417 |
$0.00 |
| 90686 |
|
2,120 |
1,480 |
$0.00 |
| 90696 |
|
53 |
37 |
$0.00 |
| 90744 |
|
1,172 |
856 |
$0.00 |
| 3008F |
|
872 |
491 |
$0.00 |
| 90716 |
|
105 |
80 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
16 |
15 |
$0.00 |
| 90723 |
|
35 |
34 |
$0.00 |
| 90681 |
|
1,655 |
1,226 |
$0.00 |
| 90700 |
|
152 |
111 |
$0.00 |
| 90685 |
|
712 |
590 |
$0.00 |
| 90670 |
|
2,270 |
1,742 |
$0.00 |
| 90648 |
|
324 |
275 |
$0.00 |
| 90710 |
|
53 |
37 |
$0.00 |
| 90707 |
|
149 |
96 |
$0.00 |
| 90649 |
|
104 |
57 |
$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) |
109 |
48 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
189 |
112 |
$0.00 |
| 90713 |
|
40 |
27 |
$0.00 |