| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,971 |
34,359 |
$4.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,209 |
7,839 |
$1.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,865 |
5,860 |
$656K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,088 |
5,085 |
$571K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,528 |
3,515 |
$367K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,405 |
5,931 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,749 |
2,749 |
$338K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,087 |
12,980 |
$213K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,693 |
5,769 |
$146K |
| 87070 |
|
19,263 |
17,387 |
$132K |
| 87184 |
|
19,301 |
17,424 |
$108K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,402 |
20,913 |
$107K |
| 99050 |
|
12,263 |
11,554 |
$93K |
| 92551 |
|
9,768 |
9,767 |
$83K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,712 |
2,585 |
$80K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
427 |
427 |
$53K |
| 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) |
5,097 |
4,162 |
$51K |
| 69210 |
|
665 |
653 |
$45K |
| 96127 |
|
7,301 |
5,192 |
$41K |
| 99381 |
|
298 |
298 |
$34K |
| 99188 |
|
2,744 |
2,744 |
$33K |
| 85018 |
|
14,377 |
14,366 |
$25K |
| 83655 |
|
2,102 |
2,100 |
$23K |
| 90677 |
|
1,001 |
1,001 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,340 |
861 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,769 |
2,761 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,512 |
3,137 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
393 |
377 |
$8K |
| 87807 |
|
611 |
580 |
$7K |
| 96160 |
|
2,445 |
2,445 |
$7K |
| 99173 |
|
7,558 |
7,542 |
$5K |
| 51701 |
|
81 |
78 |
$4K |
| 96161 |
|
987 |
987 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
32 |
$3K |
| 99460 |
|
25 |
25 |
$2K |
| 81002 |
|
1,121 |
1,079 |
$2K |
| 17250 |
|
14 |
14 |
$1K |
| 94760 |
|
389 |
300 |
$351.26 |
| 90716 |
|
1,414 |
1,407 |
$338.34 |
| 97802 |
|
13 |
13 |
$252.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$250.86 |
| 90715 |
|
411 |
411 |
$216.14 |
| 69209 |
|
12 |
12 |
$148.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
48 |
30 |
$59.30 |
| 90686 |
|
1,038 |
1,034 |
$44.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
96 |
$41.47 |
| 36415 |
Collection of venous blood by venipuncture |
320 |
314 |
$18.72 |
| 36416 |
|
16,345 |
15,934 |
$4.48 |
| 90744 |
|
2,106 |
2,094 |
$0.01 |
| 90619 |
|
597 |
597 |
$0.00 |
| 90698 |
|
2,341 |
2,329 |
$0.00 |
| 90647 |
|
246 |
244 |
$0.00 |
| 99000 |
|
393 |
385 |
$0.00 |
| 90656 |
|
97 |
97 |
$0.00 |
| 90707 |
|
1,457 |
1,451 |
$0.00 |
| 90734 |
|
358 |
356 |
$0.00 |
| 90670 |
|
1,706 |
1,694 |
$0.00 |
| 90713 |
|
808 |
799 |
$0.00 |
| 90700 |
|
1,520 |
1,511 |
$0.00 |
| 87400 |
|
410 |
191 |
$0.00 |
| 90710 |
|
54 |
54 |
$0.00 |
| 90633 |
|
222 |
219 |
$0.00 |