| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,457 |
32,575 |
$2.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,402 |
18,664 |
$1.62M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,673 |
9,495 |
$767K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,199 |
8,073 |
$633K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,222 |
4,879 |
$389K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,724 |
2,629 |
$333K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,785 |
3,694 |
$312K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,841 |
15,465 |
$183K |
| 99070 |
|
21,161 |
20,084 |
$171K |
| 92551 |
|
13,043 |
12,812 |
$129K |
| 87428 |
|
2,094 |
2,058 |
$104K |
| 90686 |
|
8,006 |
7,846 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,151 |
6,961 |
$96K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,948 |
1,916 |
$95K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,219 |
2,161 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,481 |
2,167 |
$60K |
| 90670 |
|
3,133 |
3,015 |
$58K |
| 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) |
8,791 |
7,616 |
$57K |
| 99177 |
|
11,657 |
11,494 |
$43K |
| 96127 |
|
7,702 |
7,473 |
$38K |
| 96160 |
|
16,511 |
16,205 |
$35K |
| 90671 |
|
1,005 |
973 |
$35K |
| 90651 |
|
947 |
938 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,380 |
20,617 |
$28K |
| 90698 |
|
1,848 |
1,772 |
$28K |
| 90680 |
|
969 |
931 |
$14K |
| 99000 |
|
8,715 |
8,423 |
$14K |
| 99174 |
|
3,523 |
3,466 |
$14K |
| 85018 |
|
4,913 |
4,811 |
$12K |
| 90633 |
|
900 |
885 |
$11K |
| 90744 |
|
534 |
501 |
$6K |
| 94010 |
|
237 |
231 |
$6K |
| 90619 |
|
212 |
212 |
$6K |
| 0071A |
|
141 |
141 |
$6K |
| 0002A |
|
129 |
129 |
$5K |
| 0072A |
|
134 |
133 |
$5K |
| 0001A |
|
124 |
124 |
$5K |
| 83655 |
|
461 |
447 |
$5K |
| 90656 |
|
291 |
291 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
59 |
59 |
$4K |
| 90461 |
|
2,055 |
1,964 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$3K |
| 96161 |
|
1,313 |
1,191 |
$3K |
| 90685 |
|
241 |
217 |
$3K |
| 99383 |
|
28 |
27 |
$2K |
| 90734 |
|
116 |
114 |
$2K |
| 90710 |
|
68 |
66 |
$2K |
| 99381 |
|
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
447 |
438 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$841.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
772 |
739 |
$827.97 |
| 36416 |
|
2,466 |
2,417 |
$721.89 |
| 90715 |
|
42 |
42 |
$709.72 |
| 99051 |
|
617 |
600 |
$538.08 |
| 90696 |
|
28 |
26 |
$404.89 |
| 81002 |
|
130 |
123 |
$374.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$350.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$197.88 |
| 99173 |
|
82 |
76 |
$158.32 |
| 90700 |
|
13 |
12 |
$137.50 |
| 90707 |
|
12 |
12 |
$134.20 |
| 90716 |
|
12 |
12 |
$134.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
37 |
$51.64 |
| 91300 |
|
384 |
372 |
$3.74 |
| 91307 |
|
396 |
377 |
$3.51 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.22 |
| 90480 |
|
13 |
13 |
$0.13 |