| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,406 |
42,985 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,651 |
11,298 |
$1.13M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,356 |
22,080 |
$833K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
5,164 |
5,103 |
$782K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,079 |
6,079 |
$561K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,901 |
5,901 |
$559K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,072 |
3,072 |
$306K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,190 |
2,985 |
$283K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,549 |
4,491 |
$127K |
| 99051 |
|
13,635 |
13,316 |
$116K |
| 92551 |
|
14,787 |
14,782 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,404 |
2,390 |
$43K |
| H0049 |
Alcohol and/or drug screening |
1,137 |
1,137 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
607 |
600 |
$31K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,165 |
1,164 |
$18K |
| 99173 |
|
9,922 |
9,914 |
$18K |
| 96127 |
|
2,882 |
2,870 |
$13K |
| 0072A |
|
288 |
288 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
808 |
802 |
$10K |
| 0002A |
|
258 |
257 |
$10K |
| 0071A |
|
267 |
267 |
$10K |
| 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) |
580 |
527 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
710 |
709 |
$9K |
| 0001A |
|
207 |
206 |
$8K |
| 99050 |
|
368 |
340 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
83 |
82 |
$7K |
| 96160 |
|
2,239 |
2,238 |
$5K |
| 99354 |
|
29 |
26 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
209 |
$3K |
| 96161 |
|
1,030 |
997 |
$2K |
| 90686 |
|
521 |
521 |
$2K |
| 83655 |
|
124 |
124 |
$2K |
| 0003A |
|
42 |
42 |
$2K |
| 90480 |
|
43 |
42 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
92 |
90 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
83 |
$2K |
| 87400 |
|
113 |
112 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87631 |
|
12 |
12 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 0124A |
|
28 |
28 |
$1K |
| 0011A |
|
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$818.76 |
| 0082A |
|
16 |
16 |
$640.00 |
| 80061 |
Lipid panel |
65 |
65 |
$629.07 |
| 0052A |
|
15 |
15 |
$604.26 |
| 0083A |
|
15 |
15 |
$581.88 |
| 0053A |
|
14 |
14 |
$572.78 |
| 0081A |
|
12 |
12 |
$480.00 |
| 85018 |
|
174 |
174 |
$400.51 |
| 98966 |
|
31 |
30 |
$377.84 |
| 90656 |
|
34 |
34 |
$214.91 |
| 99177 |
|
27 |
27 |
$86.73 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
29 |
27 |
$31.82 |
| 99000 |
|
76 |
76 |
$0.00 |
| 91307 |
|
52 |
50 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |