| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,216 |
13,781 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,709 |
6,261 |
$349K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,980 |
3,961 |
$315K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,550 |
3,386 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,754 |
2,734 |
$230K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,575 |
7,144 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,608 |
1,546 |
$143K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,815 |
3,209 |
$88K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,025 |
1,966 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,349 |
5,119 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,490 |
4,473 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,806 |
1,743 |
$44K |
| S8301 |
Infection control supplies, not otherwise specified |
4,768 |
4,359 |
$25K |
| 99000 |
|
2,250 |
2,150 |
$23K |
| 90461 |
|
5,031 |
4,371 |
$19K |
| CP002 |
|
1,469 |
1,292 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
181 |
179 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
951 |
947 |
$10K |
| 99381 |
|
100 |
99 |
$8K |
| 99460 |
|
92 |
92 |
$7K |
| 87807 |
|
621 |
605 |
$7K |
| 99050 |
|
327 |
322 |
$5K |
| 0001A |
|
88 |
88 |
$4K |
| 96160 |
|
1,759 |
1,717 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
68 |
$3K |
| 0071A |
|
88 |
77 |
$3K |
| 0002A |
|
73 |
72 |
$3K |
| 81002 |
|
867 |
809 |
$2K |
| 0072A |
|
48 |
42 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
135 |
117 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
194 |
178 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
98 |
60 |
$958.38 |
| 96380 |
|
25 |
25 |
$477.25 |
| 69210 |
|
14 |
14 |
$429.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
22 |
$357.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$168.94 |
| 90677 |
|
670 |
670 |
$167.00 |
| 90473 |
|
14 |
14 |
$109.76 |
| 90715 |
|
194 |
193 |
$30.48 |
| 90686 |
|
2,097 |
2,085 |
$25.45 |
| 99051 |
|
245 |
241 |
$16.17 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
15 |
15 |
$7.04 |
| 99072 |
|
1,136 |
1,073 |
$6.25 |
| 90651 |
|
514 |
512 |
$3.00 |
| 90681 |
|
880 |
877 |
$0.00 |
| 90633 |
|
1,264 |
1,261 |
$0.00 |
| 90670 |
|
1,999 |
1,992 |
$0.00 |
| 90734 |
|
502 |
499 |
$0.00 |
| 90707 |
|
490 |
489 |
$0.00 |
| 90648 |
|
1,896 |
1,890 |
$0.00 |
| 90672 |
|
398 |
394 |
$0.00 |
| 90700 |
|
122 |
122 |
$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) |
138 |
129 |
$0.00 |
| 90710 |
|
342 |
340 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 90723 |
|
1,356 |
1,351 |
$0.00 |
| 90697 |
|
217 |
216 |
$0.00 |
| 90696 |
|
400 |
398 |
$0.00 |
| 90716 |
|
458 |
457 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
29 |
27 |
$0.00 |
| 90656 |
|
187 |
187 |
$0.00 |
| 90698 |
|
141 |
140 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| 90660 |
|
45 |
45 |
$0.00 |
| 90680 |
|
42 |
42 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |