| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,154 |
71,745 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,689 |
38,285 |
$793K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,382 |
19,883 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,309 |
2,885 |
$191K |
| 90461 |
|
7,396 |
6,679 |
$94K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
2,709 |
2,536 |
$87K |
| 99215 |
Prolong outpt/office vis |
3,458 |
2,816 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,744 |
4,504 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,518 |
4,382 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,403 |
2,953 |
$29K |
| 90480 |
|
1,078 |
762 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,190 |
4,928 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,901 |
1,840 |
$13K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
414 |
316 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
459 |
428 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,741 |
3,421 |
$11K |
| 99441 |
|
1,123 |
849 |
$9K |
| 96127 |
|
15,556 |
13,402 |
$8K |
| 0072A |
|
134 |
134 |
$5K |
| 0071A |
|
115 |
112 |
$4K |
| 99173 |
|
6,160 |
5,761 |
$4K |
| 0124A |
|
85 |
84 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,068 |
971 |
$2K |
| 99442 |
|
340 |
275 |
$2K |
| 90674 |
|
145 |
140 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,428 |
3,134 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
36 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
68 |
62 |
$1K |
| 80305 |
|
587 |
500 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,037 |
995 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
46 |
38 |
$1K |
| 99406 |
|
522 |
439 |
$838.89 |
| 99417 |
Prolong home eval add 15m |
14 |
13 |
$763.75 |
| 92551 |
|
547 |
529 |
$745.90 |
| 99443 |
|
49 |
40 |
$667.42 |
| 90677 |
|
283 |
276 |
$550.42 |
| 0154A |
|
14 |
13 |
$520.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
377 |
308 |
$467.67 |
| 90686 |
|
11,050 |
10,501 |
$438.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$401.14 |
| 96160 |
|
2,075 |
1,995 |
$384.14 |
| 94760 |
|
1,149 |
1,044 |
$313.12 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
41 |
$297.19 |
| 96161 |
|
226 |
187 |
$289.26 |
| 90671 |
|
470 |
461 |
$238.82 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
77 |
74 |
$219.72 |
| 90688 |
|
54 |
46 |
$217.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
158 |
$151.59 |
| 83655 |
|
199 |
191 |
$118.96 |
| 85018 |
|
643 |
602 |
$95.38 |
| 80061 |
Lipid panel |
127 |
124 |
$79.13 |
| 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) |
1,211 |
1,118 |
$9.52 |
| 99000 |
|
6,265 |
5,765 |
$9.47 |
| 91307 |
|
437 |
408 |
$3.77 |
| 91300 |
|
48 |
46 |
$0.45 |
| 91312 |
|
42 |
42 |
$0.41 |
| 91308 |
|
32 |
29 |
$0.14 |
| 91315 |
|
16 |
14 |
$0.13 |
| 90670 |
|
813 |
722 |
$0.04 |
| 90680 |
|
335 |
328 |
$0.00 |
| 90698 |
|
1,451 |
1,355 |
$0.00 |
| 36416 |
|
1,756 |
1,627 |
$0.00 |
| 90651 |
|
167 |
164 |
$0.00 |
| 90656 |
|
1,231 |
1,218 |
$0.00 |
| 90744 |
|
131 |
113 |
$0.00 |
| 90619 |
|
141 |
140 |
$0.00 |
| 91319 |
|
98 |
74 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$0.00 |
| 99050 |
|
26 |
25 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 91318 |
|
24 |
12 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
66 |
59 |
$0.00 |
| 99051 |
|
238 |
224 |
$0.00 |
| 91320 |
|
65 |
52 |
$0.00 |
| 90685 |
|
142 |
113 |
$0.00 |
| 90633 |
|
79 |
78 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90661 |
|
75 |
72 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |