| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,997 |
65,094 |
$4.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,390 |
10,964 |
$862K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,046 |
10,409 |
$770K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,620 |
5,183 |
$454K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,383 |
4,232 |
$328K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,544 |
1,472 |
$122K |
| 90670 |
|
6,708 |
6,365 |
$121K |
| 90698 |
|
6,163 |
5,837 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,480 |
6,018 |
$80K |
| 90686 |
|
7,017 |
6,767 |
$72K |
| 90680 |
|
4,461 |
4,222 |
$63K |
| 99050 |
|
5,473 |
4,944 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,513 |
2,389 |
$51K |
| 87428 |
|
1,719 |
1,592 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,680 |
3,519 |
$50K |
| 90677 |
|
1,036 |
976 |
$31K |
| 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) |
3,879 |
3,568 |
$28K |
| 90671 |
|
804 |
788 |
$24K |
| 90744 |
|
2,346 |
2,243 |
$23K |
| 90633 |
|
2,227 |
2,119 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,666 |
1,214 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
482 |
459 |
$15K |
| 90656 |
|
732 |
712 |
$9K |
| 90473 |
|
456 |
441 |
$5K |
| 90648 |
|
493 |
473 |
$5K |
| 90685 |
|
362 |
316 |
$5K |
| 90651 |
|
223 |
211 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
125 |
$4K |
| 90723 |
|
273 |
263 |
$4K |
| 99051 |
|
10,966 |
10,419 |
$3K |
| 90710 |
|
207 |
194 |
$3K |
| 99173 |
|
1,065 |
1,038 |
$2K |
| 96127 |
|
499 |
481 |
$2K |
| 99177 |
|
580 |
561 |
$2K |
| 90619 |
|
143 |
139 |
$2K |
| 92551 |
|
183 |
176 |
$1K |
| 90707 |
|
120 |
117 |
$1K |
| 90381 |
|
16 |
15 |
$1K |
| 90696 |
|
127 |
119 |
$841.77 |
| 99460 |
|
12 |
12 |
$807.12 |
| 87807 |
|
75 |
68 |
$750.22 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$663.68 |
| 90700 |
|
46 |
40 |
$503.59 |
| 0072A |
|
12 |
12 |
$500.00 |
| 90734 |
|
24 |
24 |
$348.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
29 |
$335.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
38 |
$296.38 |
| 83655 |
|
25 |
25 |
$289.88 |
| 96380 |
|
13 |
13 |
$185.46 |
| 90715 |
|
12 |
12 |
$183.04 |
| 81002 |
|
12 |
12 |
$35.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
13 |
$20.30 |
| 91307 |
|
32 |
28 |
$0.13 |
| 90716 |
|
63 |
63 |
$0.00 |
| 99072 |
|
37 |
36 |
$0.00 |