| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,671 |
20,601 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,388 |
11,136 |
$1.05M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,429 |
4,287 |
$340K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,168 |
3,988 |
$320K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,014 |
2,900 |
$250K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,376 |
3,055 |
$229K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,871 |
6,305 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,590 |
2,404 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,611 |
8,220 |
$71K |
| 99188 |
|
3,192 |
3,041 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,909 |
1,674 |
$62K |
| 90651 |
|
1,475 |
1,426 |
$60K |
| 90686 |
|
5,115 |
4,916 |
$60K |
| 90670 |
|
2,223 |
2,067 |
$51K |
| 90671 |
|
407 |
379 |
$46K |
| 96127 |
|
7,441 |
7,052 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,442 |
12,759 |
$40K |
| 90680 |
|
1,769 |
1,641 |
$36K |
| 90677 |
|
284 |
268 |
$36K |
| 90698 |
|
1,788 |
1,663 |
$33K |
| 90716 |
|
1,048 |
1,003 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,427 |
1,251 |
$29K |
| 90633 |
|
1,752 |
1,690 |
$23K |
| 90734 |
|
1,051 |
1,008 |
$23K |
| 90707 |
|
1,066 |
1,011 |
$22K |
| 92552 |
|
777 |
754 |
$21K |
| 90619 |
|
369 |
349 |
$20K |
| 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) |
2,015 |
1,778 |
$19K |
| 99381 |
|
279 |
229 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
196 |
189 |
$16K |
| 99215 |
Prolong outpt/office vis |
128 |
123 |
$16K |
| 90461 |
|
5,694 |
5,405 |
$15K |
| 0001A |
|
390 |
363 |
$15K |
| 0002A |
|
348 |
338 |
$14K |
| 0071A |
|
296 |
284 |
$12K |
| 0072A |
|
244 |
238 |
$10K |
| 90744 |
|
840 |
759 |
$10K |
| 90620 |
|
295 |
284 |
$9K |
| 90700 |
|
687 |
663 |
$8K |
| 0003A |
|
176 |
171 |
$7K |
| 90715 |
|
496 |
478 |
$7K |
| 99000 |
|
5,326 |
4,976 |
$6K |
| 99173 |
|
2,191 |
2,109 |
$5K |
| 90672 |
|
368 |
360 |
$5K |
| 90480 |
|
197 |
156 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
341 |
279 |
$5K |
| 90648 |
|
441 |
411 |
$5K |
| 99072 |
|
1,566 |
1,408 |
$4K |
| 85018 |
|
1,750 |
1,649 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
424 |
$4K |
| 81002 |
|
1,256 |
1,142 |
$4K |
| 90696 |
|
224 |
219 |
$3K |
| 91320 |
|
64 |
54 |
$3K |
| 91319 |
|
52 |
44 |
$2K |
| 0124A |
|
53 |
53 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
133 |
114 |
$2K |
| 36410 |
|
153 |
148 |
$2K |
| 87807 |
|
126 |
116 |
$2K |
| 90713 |
|
86 |
84 |
$1K |
| 90710 |
|
53 |
50 |
$765.60 |
| 0073A |
|
19 |
19 |
$742.00 |
| 96161 |
|
436 |
316 |
$731.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
93 |
82 |
$717.60 |
| 36416 |
|
1,374 |
1,302 |
$692.89 |
| 90723 |
|
31 |
28 |
$689.80 |
| 96380 |
|
40 |
35 |
$561.33 |
| 90647 |
|
48 |
46 |
$508.65 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
210 |
203 |
$483.00 |
| 90473 |
|
235 |
230 |
$472.38 |
| 0154A |
|
13 |
13 |
$463.00 |
| 90685 |
|
15 |
15 |
$165.00 |
| 90381 |
|
15 |
14 |
$77.07 |
| 91300 |
|
1,026 |
870 |
$9.10 |
| 91307 |
|
625 |
565 |
$5.49 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
90 |
75 |
$4.10 |
| 91312 |
|
53 |
53 |
$0.29 |
| 91315 |
|
13 |
13 |
$0.09 |
| 99051 |
|
23 |
22 |
$0.00 |