| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,719 |
34,215 |
$3.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,867 |
38,302 |
$2.46M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,645 |
12,989 |
$1.13M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,813 |
12,469 |
$1.08M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,810 |
29,864 |
$938K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,994 |
7,616 |
$654K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,438 |
4,186 |
$388K |
| 92551 |
|
20,818 |
19,548 |
$162K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,317 |
8,722 |
$113K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,329 |
4,457 |
$108K |
| 87428 |
|
3,458 |
3,305 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,813 |
1,669 |
$62K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
554 |
522 |
$47K |
| 99401 |
|
1,766 |
1,683 |
$45K |
| 83655 |
|
4,281 |
4,066 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
996 |
947 |
$41K |
| 99173 |
|
21,247 |
19,958 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,132 |
1,058 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,028 |
920 |
$32K |
| 96127 |
|
5,111 |
4,764 |
$16K |
| 85018 |
|
9,355 |
8,836 |
$14K |
| 87807 |
|
1,453 |
1,359 |
$14K |
| 80061 |
Lipid panel |
1,441 |
1,306 |
$14K |
| 96161 |
|
6,000 |
5,528 |
$11K |
| 99051 |
|
721 |
655 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,253 |
1,082 |
$8K |
| 99050 |
|
573 |
540 |
$7K |
| 96160 |
|
5,076 |
4,740 |
$6K |
| 85013 |
|
1,434 |
1,361 |
$5K |
| 96116 |
|
2,786 |
2,618 |
$4K |
| 0071A |
|
107 |
102 |
$3K |
| 99460 |
|
47 |
47 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
70 |
66 |
$3K |
| 0001A |
|
69 |
66 |
$2K |
| 96380 |
|
460 |
294 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
37 |
$2K |
| 87899 |
|
151 |
142 |
$2K |
| 0002A |
|
52 |
49 |
$2K |
| D1206 |
Topical application of fluoride varnish |
69 |
65 |
$2K |
| 99381 |
|
16 |
14 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
14 |
$1K |
| 90651 |
|
1,633 |
1,511 |
$879.33 |
| 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) |
598 |
513 |
$640.70 |
| 0072A |
|
16 |
16 |
$545.21 |
| 90670 |
|
7,083 |
6,892 |
$425.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
67 |
65 |
$335.56 |
| 90671 |
|
1,826 |
1,284 |
$246.20 |
| 90686 |
|
6,902 |
6,494 |
$244.01 |
| 90461 |
|
3,155 |
3,031 |
$187.67 |
| 99177 |
|
3,471 |
3,333 |
$157.33 |
| 90734 |
|
1,227 |
1,129 |
$150.11 |
| 90715 |
|
424 |
381 |
$56.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$13.82 |
| 90677 |
|
1,313 |
1,236 |
$2.05 |
| 90647 |
|
2,686 |
2,381 |
$1.52 |
| 90633 |
|
2,799 |
2,630 |
$0.21 |
| 90716 |
|
365 |
284 |
$0.19 |
| 90707 |
|
349 |
269 |
$0.19 |
| 90620 |
|
94 |
87 |
$0.04 |
| 90685 |
|
45 |
43 |
$0.02 |
| 90723 |
|
6,144 |
5,673 |
$0.00 |
| 90696 |
|
446 |
415 |
$0.00 |
| 90697 |
|
139 |
136 |
$0.00 |
| 36416 |
|
655 |
623 |
$0.00 |
| 99070 |
|
169 |
153 |
$0.00 |
| 90688 |
|
67 |
65 |
$0.00 |
| 90381 |
|
216 |
120 |
$0.00 |
| 90698 |
|
83 |
76 |
$0.00 |
| 91307 |
|
194 |
189 |
$0.00 |
| 90656 |
|
263 |
262 |
$0.00 |
| 90681 |
|
2,869 |
2,568 |
$0.00 |
| 99072 |
|
3,274 |
2,979 |
$0.00 |
| 90648 |
|
489 |
479 |
$0.00 |
| 90710 |
|
437 |
400 |
$0.00 |
| 90380 |
|
374 |
272 |
$0.00 |
| 91300 |
|
223 |
205 |
$0.00 |