| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,271 |
47,862 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,800 |
8,257 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,573 |
1,547 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,046 |
1,035 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,080 |
1,056 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,862 |
4,773 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,381 |
2,334 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,001 |
1,565 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
579 |
560 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
463 |
456 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
694 |
683 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,867 |
1,779 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
500 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
518 |
502 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
6,875 |
6,459 |
$15K |
| 0001A |
|
406 |
403 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,400 |
1,335 |
$13K |
| 0002A |
|
333 |
331 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
466 |
$11K |
| 80061 |
Lipid panel |
551 |
528 |
$6K |
| 81001 |
|
1,230 |
1,195 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
85 |
$4K |
| 90686 |
|
1,255 |
1,246 |
$3K |
| 90651 |
|
67 |
66 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
394 |
370 |
$3K |
| 90734 |
|
79 |
78 |
$2K |
| 90461 |
|
180 |
178 |
$2K |
| 90688 |
|
109 |
106 |
$1K |
| 87428 |
|
18 |
18 |
$1K |
| 90656 |
|
292 |
288 |
$1K |
| 90474 |
|
127 |
125 |
$851.65 |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
53 |
$825.34 |
| 84439 |
|
122 |
112 |
$777.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
83 |
$615.35 |
| 0072A |
|
16 |
16 |
$604.00 |
| 0071A |
|
13 |
13 |
$526.40 |
| 80050 |
General health panel |
14 |
12 |
$466.70 |
| 90682 |
|
12 |
12 |
$463.69 |
| 90670 |
|
436 |
425 |
$437.49 |
| 0004A |
|
12 |
12 |
$401.60 |
| 73630 |
|
15 |
14 |
$298.47 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$273.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
78 |
$248.91 |
| 85004 |
|
26 |
24 |
$171.71 |
| 85027 |
|
25 |
24 |
$163.54 |
| 99177 |
|
389 |
383 |
$158.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
12 |
$102.20 |
| G0008 |
Administration of influenza virus vaccine |
42 |
40 |
$81.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$78.89 |
| 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) |
14 |
13 |
$36.83 |
| 90648 |
|
614 |
601 |
$35.79 |
| 85048 |
|
13 |
12 |
$26.66 |
| 90677 |
|
224 |
220 |
$0.86 |
| 91307 |
|
113 |
112 |
$0.00 |
| 90723 |
|
226 |
223 |
$0.00 |
| 90680 |
|
107 |
105 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| 91300 |
|
762 |
694 |
$0.00 |