| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,698 |
8,138 |
$661K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,137 |
9,244 |
$521K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,579 |
1,398 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,611 |
1,307 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
655 |
609 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,017 |
1,812 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
222 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
242 |
$23K |
| 96127 |
|
1,714 |
1,487 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,292 |
1,064 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
174 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
132 |
$9K |
| 90688 |
|
691 |
575 |
$6K |
| 81002 |
|
1,466 |
1,189 |
$3K |
| 81025 |
|
443 |
304 |
$2K |
| 90686 |
|
418 |
390 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
40 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
466 |
372 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$958.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$923.58 |
| 99406 |
|
96 |
82 |
$911.00 |
| 90658 |
|
117 |
82 |
$761.22 |
| 0072A |
|
14 |
12 |
$617.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
82 |
$599.60 |
| 90651 |
|
31 |
28 |
$537.54 |
| 0012A |
|
13 |
13 |
$535.34 |
| 90715 |
|
15 |
14 |
$509.63 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
12 |
$474.40 |
| 0011A |
|
15 |
15 |
$411.80 |
| 36416 |
|
210 |
115 |
$379.59 |
| 98927 |
|
15 |
12 |
$352.94 |
| 90671 |
|
261 |
245 |
$216.09 |
| 90670 |
|
269 |
232 |
$199.98 |
| 99173 |
|
68 |
63 |
$181.16 |
| 81000 |
|
121 |
95 |
$131.66 |
| 99072 |
|
1,684 |
1,219 |
$113.75 |
| 90461 |
|
1,076 |
961 |
$77.50 |
| 87210 |
|
25 |
13 |
$75.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
446 |
383 |
$2.77 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
175 |
158 |
$1.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$0.19 |
| 90687 |
|
32 |
28 |
$0.01 |
| 87220 |
|
23 |
12 |
$0.00 |
| 0502F |
|
60 |
52 |
$0.00 |
| 90648 |
|
17 |
12 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90698 |
|
271 |
234 |
$0.00 |
| 3008F |
|
543 |
463 |
$0.00 |
| 90680 |
|
250 |
221 |
$0.00 |
| 90744 |
|
27 |
26 |
$0.00 |
| 90743 |
|
19 |
14 |
$0.00 |