| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,817 |
9,043 |
$870K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,149 |
6,301 |
$414K |
| 99215 |
Prolong outpt/office vis |
3,335 |
3,024 |
$385K |
| 99490 |
Ccm add 20min |
6,884 |
6,594 |
$212K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,092 |
2,796 |
$155K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
7,071 |
6,878 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,338 |
2,024 |
$49K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,415 |
1,399 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,484 |
2,379 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
457 |
424 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
9,242 |
8,214 |
$41K |
| 80053 |
Comprehensive metabolic panel |
2,983 |
2,914 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
455 |
406 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,727 |
2,684 |
$30K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
320 |
316 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,507 |
1,463 |
$28K |
| 80061 |
Lipid panel |
1,837 |
1,800 |
$28K |
| 99397 |
|
184 |
180 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
188 |
$20K |
| 90649 |
|
157 |
135 |
$18K |
| 92551 |
|
2,530 |
2,315 |
$18K |
| 0013A |
|
358 |
354 |
$15K |
| 90686 |
|
960 |
884 |
$13K |
| 0012A |
|
520 |
496 |
$12K |
| 87428 |
|
77 |
57 |
$12K |
| 85027 |
|
1,576 |
1,545 |
$11K |
| 99401 |
|
369 |
335 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
795 |
766 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
71 |
$10K |
| 0011A |
|
609 |
587 |
$9K |
| 90461 |
|
436 |
376 |
$8K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
488 |
480 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
81 |
$7K |
| 96127 |
|
1,802 |
1,679 |
$7K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
292 |
258 |
$6K |
| 99173 |
|
2,486 |
2,285 |
$5K |
| 90688 |
|
553 |
539 |
$4K |
| 90619 |
|
98 |
96 |
$4K |
| 90691 |
|
28 |
27 |
$4K |
| 90656 |
|
165 |
165 |
$3K |
| 86803 |
|
203 |
198 |
$3K |
| 86762 |
|
190 |
185 |
$3K |
| 86735 |
|
192 |
186 |
$3K |
| 86787 |
|
191 |
186 |
$3K |
| 86765 |
|
193 |
186 |
$3K |
| 99496 |
|
12 |
12 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| X5622 |
|
996 |
956 |
$2K |
| 90734 |
|
42 |
37 |
$2K |
| 86708 |
|
174 |
169 |
$2K |
| 86706 |
|
195 |
189 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
474 |
$2K |
| 87340 |
|
193 |
189 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
77 |
57 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
75 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 99487 |
Ccm add 20min |
15 |
15 |
$2K |
| 99383 |
|
15 |
14 |
$1K |
| 99439 |
|
46 |
46 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
135 |
133 |
$1K |
| 90715 |
|
64 |
60 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$1K |
| 99188 |
|
131 |
121 |
$969.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$756.35 |
| 0064A |
|
17 |
17 |
$664.40 |
| 90633 |
|
65 |
55 |
$540.19 |
| 87807 |
|
13 |
13 |
$415.56 |
| 82607 |
|
29 |
28 |
$401.40 |
| 82746 |
|
29 |
28 |
$391.88 |
| 82043 |
|
41 |
41 |
$256.50 |
| 82570 |
|
41 |
41 |
$229.88 |
| 84439 |
|
12 |
12 |
$118.16 |
| 85018 |
|
29 |
29 |
$82.11 |
| 91301 |
|
1,550 |
1,510 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
28 |
28 |
$0.00 |
| 91306 |
|
17 |
17 |
$0.00 |
| 81003 |
|
30 |
29 |
$0.00 |
| 82274 |
|
14 |
13 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |