| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,221 |
23,060 |
$1.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,827 |
11,629 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,870 |
5,865 |
$522K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,843 |
4,839 |
$424K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,603 |
3,435 |
$401K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,545 |
4,215 |
$376K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,050 |
5,631 |
$282K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,227 |
2,226 |
$214K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,104 |
4,870 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,526 |
10,618 |
$118K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,458 |
6,920 |
$114K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,676 |
1,568 |
$71K |
| 87631 |
|
691 |
661 |
$65K |
| 92552 |
|
6,664 |
6,661 |
$57K |
| 99215 |
Prolong outpt/office vis |
349 |
334 |
$51K |
| 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) |
3,971 |
3,369 |
$48K |
| 99381 |
|
487 |
485 |
$44K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,479 |
2,388 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,659 |
1,921 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,530 |
8,429 |
$31K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
9,368 |
8,508 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
297 |
282 |
$11K |
| 83655 |
|
780 |
780 |
$10K |
| 0002A |
|
168 |
162 |
$6K |
| 92551 |
|
1,679 |
1,679 |
$6K |
| 92567 |
|
549 |
524 |
$6K |
| 0071A |
|
141 |
133 |
$5K |
| 99382 |
|
54 |
54 |
$5K |
| 69210 |
|
161 |
127 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$5K |
| 96160 |
|
2,284 |
2,283 |
$4K |
| 99383 |
|
37 |
37 |
$3K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
213 |
213 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
64 |
63 |
$3K |
| 96161 |
|
1,447 |
1,284 |
$3K |
| 87634 |
|
120 |
118 |
$3K |
| 87807 |
|
193 |
185 |
$3K |
| 96127 |
|
423 |
423 |
$2K |
| 0001A |
|
39 |
35 |
$1K |
| 90461 |
|
477 |
435 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 81003 |
|
518 |
503 |
$1K |
| 0072A |
|
14 |
14 |
$535.46 |
| 99051 |
|
34 |
34 |
$451.50 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
24 |
24 |
$433.30 |
| 86769 |
|
12 |
12 |
$427.21 |
| 99173 |
|
8,294 |
8,283 |
$312.10 |
| 81002 |
|
118 |
112 |
$238.92 |
| 90716 |
|
296 |
295 |
$198.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$174.10 |
| 90707 |
|
329 |
328 |
$80.00 |
| 90713 |
|
300 |
299 |
$80.00 |
| 90744 |
|
276 |
273 |
$80.00 |
| 90700 |
|
502 |
502 |
$70.00 |
| 94760 |
|
5,487 |
5,073 |
$60.51 |
| 90715 |
|
54 |
54 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$56.56 |
| 90734 |
|
61 |
61 |
$30.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
44 |
44 |
$2.34 |
| 91300 |
|
224 |
215 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 90670 |
|
100 |
100 |
$0.00 |
| 99072 |
|
270 |
260 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 99000 |
|
1,196 |
1,141 |
$0.00 |
| 36416 |
|
895 |
886 |
$0.00 |
| 90619 |
|
57 |
56 |
$0.00 |
| 90686 |
|
145 |
145 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 91307 |
|
181 |
167 |
$0.00 |