| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,994 |
1,712 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
915 |
849 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,369 |
1,246 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
131 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
124 |
$11K |
| 90461 |
|
455 |
407 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
208 |
194 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
945 |
878 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
60 |
$2K |
| 96127 |
|
404 |
184 |
$2K |
| 87430 |
|
194 |
179 |
$2K |
| 99050 |
|
53 |
51 |
$2K |
| 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) |
130 |
112 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
91 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 87070 |
|
136 |
131 |
$800.28 |
| 90480 |
|
17 |
17 |
$662.16 |
| 99401 |
|
20 |
18 |
$587.60 |
| 90686 |
|
980 |
525 |
$467.21 |
| 81003 |
|
249 |
238 |
$388.45 |
| 96160 |
|
110 |
91 |
$312.80 |
| 99173 |
|
137 |
137 |
$292.25 |
| 82465 |
|
45 |
40 |
$131.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
13 |
$125.12 |
| 90656 |
|
38 |
38 |
$18.51 |
| 90633 |
|
29 |
13 |
$14.50 |