| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,210 |
10,253 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,229 |
4,098 |
$344K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,268 |
1,207 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,178 |
7,083 |
$127K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,308 |
963 |
$91K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,138 |
1,024 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
820 |
808 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
584 |
584 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
378 |
376 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
369 |
369 |
$45K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
269 |
267 |
$33K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
641 |
624 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
188 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
130 |
128 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
120 |
120 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
90 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
89 |
79 |
$10K |
| 92551 |
|
899 |
898 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,460 |
1,382 |
$6K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$5K |
| 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) |
486 |
433 |
$5K |
| 69210 |
|
95 |
91 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
65 |
62 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
51 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$1K |
| 96127 |
|
178 |
120 |
$962.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
29 |
$867.46 |
| 90686 |
|
1,525 |
1,523 |
$675.14 |
| 93000 |
|
24 |
24 |
$418.05 |
| 99173 |
|
568 |
568 |
$385.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
38 |
$337.79 |
| V2020 |
Frames, purchases |
31 |
27 |
$310.50 |
| 90461 |
|
36 |
36 |
$251.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$137.46 |
| 81003 |
|
3,014 |
2,166 |
$52.29 |
| 90656 |
|
209 |
209 |
$44.70 |
| 94760 |
|
12 |
12 |
$4.37 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90670 |
|
192 |
192 |
$0.00 |
| 81002 |
|
38 |
28 |
$0.00 |
| 90698 |
|
227 |
227 |
$0.00 |
| 90677 |
|
51 |
51 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
62 |
27 |
$0.00 |