| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,774 |
10,510 |
$578K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,798 |
7,453 |
$385K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,568 |
2,272 |
$196K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,956 |
1,713 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,923 |
1,658 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,731 |
1,320 |
$132K |
| 99215 |
Prolong outpt/office vis |
1,339 |
1,216 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,035 |
1,629 |
$33K |
| 90688 |
|
1,709 |
1,498 |
$30K |
| 90686 |
|
2,800 |
2,425 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
291 |
249 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
280 |
$25K |
| 90662 |
|
546 |
508 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,021 |
337 |
$16K |
| 83655 |
|
1,298 |
958 |
$15K |
| 99490 |
Ccm add 20min |
693 |
672 |
$14K |
| 81002 |
|
5,439 |
4,823 |
$12K |
| 90651 |
|
499 |
386 |
$12K |
| 93000 |
|
863 |
783 |
$11K |
| 0012A |
|
264 |
264 |
$11K |
| 90715 |
|
415 |
341 |
$10K |
| 86580 |
|
2,016 |
1,639 |
$9K |
| 0011A |
|
265 |
265 |
$9K |
| 90670 |
|
281 |
228 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
195 |
190 |
$8K |
| 90661 |
|
293 |
240 |
$7K |
| 0064A |
|
179 |
179 |
$7K |
| 90620 |
|
273 |
212 |
$7K |
| 85018 |
|
2,648 |
2,143 |
$6K |
| 90734 |
|
238 |
177 |
$5K |
| 91320 |
|
56 |
56 |
$5K |
| 99397 |
|
58 |
58 |
$5K |
| 91322 |
|
32 |
32 |
$4K |
| 90756 |
|
143 |
114 |
$4K |
| 90480 |
|
56 |
56 |
$2K |
| 90633 |
|
175 |
120 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
925 |
848 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
252 |
251 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
60 |
$957.70 |
| 0134A |
|
30 |
30 |
$881.61 |
| 90647 |
|
114 |
95 |
$847.95 |
| 90680 |
|
80 |
70 |
$754.27 |
| 36416 |
|
496 |
436 |
$651.90 |
| 0072A |
|
15 |
15 |
$632.10 |
| 90723 |
|
62 |
55 |
$621.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
46 |
$615.92 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| 90619 |
|
36 |
34 |
$601.56 |
| 90685 |
|
59 |
33 |
$434.80 |
| 82962 |
|
308 |
254 |
$370.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$307.80 |
| 90672 |
|
28 |
27 |
$179.20 |
| 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) |
50 |
48 |
$170.30 |
| 90710 |
|
19 |
12 |
$121.60 |
| 99406 |
|
13 |
13 |
$97.50 |
| 82270 |
|
38 |
15 |
$91.76 |
| 90744 |
|
12 |
12 |
$76.80 |
| 91301 |
|
103 |
98 |
$0.90 |
| 90461 |
|
268 |
234 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
908 |
800 |
$0.00 |
| 99442 |
|
90 |
67 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
147 |
$0.00 |
| 99441 |
|
15 |
13 |
$0.00 |