| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,614 |
9,782 |
$946K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,938 |
5,521 |
$715K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,556 |
2,231 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,371 |
2,056 |
$221K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,914 |
1,650 |
$193K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,748 |
1,496 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,298 |
2,648 |
$149K |
| 92587 |
|
8,414 |
6,969 |
$116K |
| D1206 |
Topical application of fluoride varnish |
6,211 |
3,482 |
$94K |
| 95930 |
|
2,070 |
1,712 |
$89K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,670 |
1,424 |
$59K |
| 99051 |
|
7,355 |
5,836 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,833 |
4,152 |
$42K |
| 90686 |
|
2,052 |
1,837 |
$41K |
| 94010 |
|
1,226 |
1,050 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,106 |
2,733 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,897 |
1,460 |
$29K |
| 90670 |
|
1,349 |
1,158 |
$27K |
| 90698 |
|
1,290 |
1,095 |
$25K |
| 96160 |
|
8,769 |
6,582 |
$22K |
| 96127 |
|
5,437 |
4,578 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
8,645 |
7,207 |
$18K |
| 90716 |
|
975 |
808 |
$18K |
| 99050 |
|
1,976 |
1,581 |
$18K |
| 90707 |
|
898 |
758 |
$17K |
| 82947 |
|
7,023 |
5,936 |
$17K |
| 90633 |
|
836 |
728 |
$16K |
| 90656 |
|
734 |
697 |
$16K |
| 90651 |
|
734 |
609 |
$16K |
| 90677 |
|
223 |
167 |
$15K |
| 90744 |
|
718 |
618 |
$14K |
| 86580 |
|
3,303 |
2,732 |
$14K |
| 81002 |
|
6,856 |
5,764 |
$12K |
| 99173 |
|
5,532 |
4,665 |
$12K |
| 85018 |
|
7,009 |
5,965 |
$10K |
| 90734 |
|
490 |
386 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
443 |
363 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,515 |
4,452 |
$8K |
| 90681 |
|
406 |
348 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
62 |
$8K |
| 99215 |
Prolong outpt/office vis |
50 |
47 |
$7K |
| 99080 |
|
2,053 |
1,687 |
$6K |
| 90461 |
|
3,056 |
2,448 |
$6K |
| 99381 |
|
88 |
64 |
$6K |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
2,443 |
2,017 |
$5K |
| 90621 |
|
192 |
133 |
$4K |
| 90715 |
|
206 |
174 |
$4K |
| 94760 |
|
2,397 |
2,013 |
$4K |
| 90696 |
|
171 |
139 |
$3K |
| 90655 |
|
152 |
133 |
$3K |
| 90732 |
|
136 |
91 |
$3K |
| 69210 |
|
73 |
62 |
$3K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,050 |
1,591 |
$2K |
| 90658 |
|
106 |
96 |
$2K |
| 96161 |
|
942 |
811 |
$2K |
| 90700 |
|
62 |
59 |
$1K |
| A6411 |
Eye pad, non-sterile, each |
2,490 |
2,026 |
$1K |
| 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) |
74 |
66 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
46 |
$645.00 |
| 99000 |
|
7,723 |
5,997 |
$561.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
93 |
$500.80 |
| 92551 |
|
47 |
45 |
$437.40 |
| 90713 |
|
15 |
14 |
$325.92 |
| 90648 |
|
14 |
12 |
$279.36 |
| 94664 |
|
17 |
15 |
$238.00 |
| A4555 |
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only |
13 |
13 |
$157.82 |
| A7015 |
Aerosol mask, used with dme nebulizer |
65 |
57 |
$142.02 |
| 99446 |
|
13 |
12 |
$0.00 |