| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,474 |
30,488 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,795 |
15,476 |
$990K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,281 |
3,874 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,056 |
3,629 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,938 |
2,613 |
$129K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,475 |
2,310 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,713 |
2,614 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,137 |
1,019 |
$52K |
| 90686 |
|
3,831 |
3,514 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,216 |
2,976 |
$35K |
| 90670 |
|
1,825 |
1,677 |
$18K |
| 90688 |
|
1,205 |
1,145 |
$11K |
| 90723 |
|
931 |
860 |
$10K |
| 90647 |
|
768 |
709 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,604 |
9,071 |
$6K |
| 0071A |
|
68 |
65 |
$5K |
| 90656 |
|
329 |
320 |
$4K |
| 96127 |
|
2,043 |
1,571 |
$3K |
| 0072A |
|
42 |
38 |
$3K |
| 99188 |
|
236 |
178 |
$3K |
| 90633 |
|
279 |
263 |
$3K |
| 0002A |
|
49 |
43 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
83 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
63 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
168 |
149 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 90681 |
|
136 |
124 |
$1K |
| 0001A |
|
34 |
32 |
$1K |
| 90651 |
|
141 |
123 |
$1K |
| 90671 |
|
97 |
97 |
$1K |
| 92552 |
|
90 |
80 |
$1K |
| 90734 |
|
100 |
90 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,594 |
1,367 |
$1K |
| 87807 |
|
85 |
79 |
$879.40 |
| 87081 |
|
89 |
82 |
$745.30 |
| 87280 |
|
61 |
56 |
$688.95 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$620.70 |
| 69210 |
|
13 |
12 |
$309.32 |
| 99172 |
|
15 |
12 |
$146.80 |
| 90700 |
|
12 |
12 |
$144.54 |
| 94760 |
|
51 |
45 |
$73.08 |
| 99051 |
|
92 |
89 |
$61.62 |
| 81003 |
|
14 |
13 |
$3.52 |
| 99177 |
|
797 |
700 |
$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) |
88 |
87 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
19 |
$0.00 |
| 99401 |
|
14 |
13 |
$0.00 |