| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,315 |
14,760 |
$709K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,249 |
10,035 |
$554K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
959 |
875 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
715 |
711 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
539 |
526 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,219 |
3,096 |
$22K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,146 |
15,542 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
724 |
697 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,544 |
1,502 |
$17K |
| 1159F |
|
18,373 |
16,388 |
$12K |
| 99215 |
Prolong outpt/office vis |
211 |
202 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
411 |
292 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
276 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,977 |
2,721 |
$4K |
| 0012A |
|
112 |
110 |
$4K |
| 0011A |
|
144 |
141 |
$4K |
| 90473 |
|
308 |
304 |
$3K |
| 99493 |
|
28 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
144 |
$3K |
| 99000 |
|
4,417 |
4,021 |
$2K |
| 90715 |
|
249 |
242 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
497 |
353 |
$2K |
| 90686 |
|
1,581 |
1,514 |
$2K |
| 99051 |
|
1,173 |
1,122 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
41 |
41 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
897 |
805 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
105 |
104 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
910 |
890 |
$1K |
| 99494 |
|
25 |
24 |
$1K |
| 90656 |
|
202 |
200 |
$752.02 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
140 |
132 |
$716.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
287 |
$702.61 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
60 |
$697.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
882 |
831 |
$678.41 |
| 96127 |
|
1,724 |
1,670 |
$656.45 |
| 90671 |
|
412 |
406 |
$438.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
91 |
$292.59 |
| 81025 |
|
116 |
108 |
$267.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
99 |
$215.30 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$201.39 |
| 91301 |
|
304 |
288 |
$198.77 |
| 81003 |
|
413 |
391 |
$196.62 |
| 85018 |
|
114 |
112 |
$111.51 |
| 81001 |
|
139 |
129 |
$111.30 |
| 90707 |
|
24 |
24 |
$91.54 |
| 82043 |
|
164 |
156 |
$88.04 |
| 90672 |
|
34 |
34 |
$65.60 |
| 82570 |
|
163 |
156 |
$55.28 |
| 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) |
63 |
53 |
$40.43 |
| 96161 |
|
51 |
50 |
$30.38 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$30.06 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
951 |
937 |
$13.50 |
| 3074F |
|
6,254 |
5,728 |
$0.01 |
| 90648 |
|
516 |
507 |
$0.01 |
| 3078F |
|
4,926 |
4,552 |
$0.01 |
| 90670 |
|
105 |
100 |
$0.01 |
| 3080F |
|
653 |
626 |
$0.00 |
| 1111F |
|
27 |
26 |
$0.00 |
| 3044F |
|
524 |
509 |
$0.00 |
| 90680 |
|
227 |
225 |
$0.00 |
| 3075F |
|
1,393 |
1,331 |
$0.00 |
| 3008F |
|
170 |
164 |
$0.00 |
| 3079F |
|
2,503 |
2,351 |
$0.00 |
| 90723 |
|
331 |
328 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 91307 |
|
42 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 3077F |
|
661 |
638 |
$0.00 |
| 90633 |
|
136 |
136 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |