| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,691 |
77,150 |
$4.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,446 |
55,106 |
$3.96M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,363 |
7,217 |
$644K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,703 |
6,248 |
$551K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,897 |
19,441 |
$236K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,323 |
9,587 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,237 |
2,072 |
$179K |
| 99215 |
Prolong outpt/office vis |
1,059 |
955 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
587 |
$51K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,359 |
1,156 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,622 |
1,125 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
647 |
576 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,142 |
1,800 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
665 |
584 |
$22K |
| 90474 |
|
1,660 |
1,506 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
6,599 |
5,587 |
$18K |
| 59425 |
|
236 |
166 |
$16K |
| 90686 |
|
4,926 |
4,479 |
$15K |
| 90670 |
|
4,156 |
3,841 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,212 |
941 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,458 |
1,347 |
$10K |
| 96127 |
|
2,081 |
1,689 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
165 |
138 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,199 |
805 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,444 |
1,140 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
88 |
68 |
$5K |
| 91320 |
|
169 |
66 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
166 |
71 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
241 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
155 |
109 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
79 |
$4K |
| 99460 |
|
64 |
54 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
164 |
124 |
$3K |
| 81002 |
|
1,325 |
839 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
256 |
242 |
$3K |
| 90480 |
|
298 |
110 |
$3K |
| 90674 |
|
214 |
203 |
$3K |
| 90723 |
|
1,439 |
1,275 |
$2K |
| 90688 |
|
171 |
159 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
173 |
47 |
$1K |
| 99307 |
|
341 |
163 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
93 |
31 |
$1K |
| 90656 |
|
304 |
283 |
$1K |
| 96112 |
|
12 |
12 |
$1K |
| 90698 |
|
2,811 |
2,610 |
$981.74 |
| 0124A |
|
67 |
37 |
$738.00 |
| 90710 |
|
61 |
59 |
$647.23 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$577.21 |
| 90680 |
|
1,390 |
1,280 |
$532.20 |
| 87807 |
|
72 |
71 |
$526.96 |
| 90681 |
|
362 |
311 |
$519.72 |
| 90648 |
|
1,992 |
1,795 |
$507.33 |
| 85018 |
|
258 |
245 |
$470.46 |
| 90633 |
|
1,179 |
1,099 |
$420.59 |
| 0004A |
|
26 |
16 |
$409.31 |
| 90744 |
|
904 |
852 |
$313.54 |
| 95251 |
|
15 |
12 |
$296.08 |
| 96380 |
|
22 |
21 |
$285.00 |
| 36416 |
|
102 |
93 |
$278.52 |
| 3044F |
|
295 |
249 |
$240.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
22 |
15 |
$236.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
181 |
146 |
$172.78 |
| 81003 |
|
382 |
287 |
$160.49 |
| 90715 |
|
82 |
78 |
$118.83 |
| 80061 |
Lipid panel |
217 |
165 |
$95.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$81.38 |
| 99173 |
|
35 |
33 |
$75.49 |
| 90685 |
|
192 |
174 |
$0.09 |
| 3078F |
|
13,768 |
12,195 |
$0.00 |
| 1159F |
|
1,545 |
1,369 |
$0.00 |
| 1160F |
|
1,651 |
1,468 |
$0.00 |
| 90734 |
|
54 |
53 |
$0.00 |
| 90707 |
|
81 |
78 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 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) |
28 |
13 |
$0.00 |
| 81025 |
|
25 |
16 |
$0.00 |
| 90700 |
|
19 |
18 |
$0.00 |
| 3074F |
|
16,362 |
14,462 |
$0.00 |
| 3079F |
|
5,222 |
4,737 |
$0.00 |
| 3008F |
|
13,259 |
12,022 |
$0.00 |
| 3075F |
|
2,381 |
2,164 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
53 |
$0.00 |
| 90677 |
|
239 |
198 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
16 |
$0.00 |
| 93000 |
|
27 |
26 |
$0.00 |
| 90716 |
|
68 |
66 |
$0.00 |
| 90651 |
|
57 |
54 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 90696 |
|
29 |
27 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
26 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |