| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,946 |
7,388 |
$638K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,183 |
3,079 |
$377K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,634 |
5,325 |
$317K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,629 |
2,542 |
$289K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,506 |
2,375 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,991 |
1,929 |
$227K |
| 92552 |
|
2,817 |
2,634 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,060 |
3,209 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
875 |
847 |
$33K |
| S9470 |
Nutritional counseling, dietitian visit |
1,941 |
1,922 |
$31K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,217 |
1,215 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,068 |
2,751 |
$26K |
| Q3014 |
Telehealth originating site facility fee |
931 |
884 |
$16K |
| 90686 |
|
2,368 |
2,280 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
106 |
$14K |
| 99381 |
|
120 |
118 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
348 |
339 |
$12K |
| 99188 |
|
866 |
817 |
$11K |
| 90648 |
|
1,874 |
1,842 |
$11K |
| 96127 |
|
2,021 |
1,923 |
$8K |
| 90670 |
|
1,531 |
1,496 |
$7K |
| 99173 |
|
3,040 |
2,882 |
$7K |
| 90723 |
|
1,250 |
1,222 |
$7K |
| 0071A |
|
155 |
153 |
$6K |
| 99050 |
|
162 |
159 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
542 |
519 |
$6K |
| 90633 |
|
1,010 |
1,002 |
$5K |
| 0072A |
|
132 |
132 |
$5K |
| 90677 |
|
587 |
585 |
$5K |
| 90619 |
|
260 |
255 |
$5K |
| 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) |
347 |
298 |
$4K |
| 92551 |
|
466 |
461 |
$4K |
| 99177 |
|
457 |
456 |
$4K |
| 96160 |
|
1,605 |
1,510 |
$4K |
| 90651 |
|
680 |
660 |
$3K |
| 90656 |
|
344 |
344 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| 0001A |
|
76 |
71 |
$3K |
| 99215 |
Prolong outpt/office vis |
23 |
22 |
$3K |
| 90461 |
|
726 |
573 |
$3K |
| 90620 |
|
284 |
283 |
$2K |
| 90734 |
|
431 |
414 |
$2K |
| 96161 |
|
1,014 |
901 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
174 |
$2K |
| 90681 |
|
519 |
502 |
$2K |
| 90707 |
|
325 |
317 |
$2K |
| 0002A |
|
37 |
37 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90716 |
|
348 |
334 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
292 |
183 |
$1K |
| 90480 |
|
32 |
31 |
$800.00 |
| 90715 |
|
239 |
227 |
$721.81 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
30 |
$692.78 |
| 36415 |
Collection of venous blood by venipuncture |
455 |
426 |
$421.95 |
| 90696 |
|
190 |
190 |
$411.22 |
| 90700 |
|
175 |
175 |
$397.04 |
| 88738 |
|
108 |
108 |
$368.09 |
| 99080 |
|
12 |
12 |
$324.00 |
| 90697 |
|
33 |
33 |
$297.78 |
| 99051 |
|
243 |
235 |
$275.00 |
| 90710 |
|
145 |
145 |
$184.34 |
| 99072 |
|
10,238 |
9,384 |
$183.96 |
| 90685 |
|
70 |
70 |
$155.98 |
| 83655 |
|
288 |
288 |
$50.00 |
| 80061 |
Lipid panel |
150 |
147 |
$25.00 |
| 81002 |
|
12 |
12 |
$11.25 |
| 87070 |
|
38 |
31 |
$5.60 |
| G9919 |
Screening performed and positive and provision of recommendations |
3,405 |
3,184 |
$3.50 |
| 91307 |
|
110 |
102 |
$0.00 |
| 85018 |
|
48 |
46 |
$0.00 |
| 85013 |
|
49 |
47 |
$0.00 |