| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,790 |
26,194 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,924 |
13,252 |
$1.08M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
27,318 |
25,674 |
$1.05M |
| X5622 |
|
10,211 |
9,329 |
$484K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,499 |
13,809 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,938 |
4,736 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,964 |
3,832 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,303 |
3,881 |
$215K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,690 |
1,621 |
$106K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
693 |
678 |
$98K |
| 90461 |
|
3,673 |
3,489 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,904 |
11,580 |
$66K |
| 92551 |
|
12,537 |
11,961 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,804 |
1,734 |
$61K |
| 96127 |
|
16,852 |
14,448 |
$60K |
| 99215 |
Prolong outpt/office vis |
606 |
574 |
$55K |
| 99000 |
|
4,656 |
4,287 |
$51K |
| 99188 |
|
7,140 |
6,859 |
$49K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,040 |
1,004 |
$34K |
| 87430 |
|
2,897 |
2,736 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,861 |
1,820 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,709 |
859 |
$18K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,300 |
3,237 |
$14K |
| 99173 |
|
12,252 |
11,735 |
$13K |
| 87081 |
|
2,061 |
1,934 |
$9K |
| 36416 |
|
2,288 |
2,122 |
$6K |
| 90686 |
|
6,232 |
6,036 |
$5K |
| 90670 |
|
2,496 |
2,410 |
$4K |
| 90691 |
|
37 |
37 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
59 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
130 |
111 |
$3K |
| 90698 |
|
2,332 |
2,243 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
766 |
729 |
$2K |
| 85018 |
|
871 |
856 |
$2K |
| 90480 |
|
29 |
27 |
$966.34 |
| 90651 |
|
621 |
597 |
$913.16 |
| 0001A |
|
34 |
34 |
$796.20 |
| 90734 |
|
340 |
325 |
$670.47 |
| 96161 |
|
683 |
615 |
$534.91 |
| 0111A |
|
13 |
12 |
$445.64 |
| 90677 |
|
60 |
53 |
$374.04 |
| 90680 |
|
923 |
891 |
$360.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
39 |
$349.41 |
| 90744 |
|
611 |
580 |
$320.00 |
| 90710 |
|
25 |
25 |
$287.61 |
| 0002A |
|
17 |
17 |
$237.66 |
| 90633 |
|
898 |
857 |
$228.99 |
| 87807 |
|
29 |
28 |
$224.27 |
| 90715 |
|
96 |
95 |
$214.66 |
| 90656 |
|
221 |
221 |
$188.56 |
| 90716 |
|
171 |
167 |
$161.90 |
| 90672 |
|
54 |
52 |
$140.00 |
| 90707 |
|
54 |
52 |
$106.53 |
| 90473 |
|
12 |
12 |
$87.57 |
| 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) |
1,820 |
1,755 |
$66.88 |
| 90696 |
|
84 |
83 |
$60.00 |
| 99177 |
|
13 |
13 |
$57.12 |
| 90685 |
|
476 |
464 |
$50.00 |
| 81003 |
|
12 |
12 |
$28.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 98962 |
|
61 |
61 |
$0.00 |