| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,518 |
3,233 |
$309K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,937 |
2,631 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,834 |
3,508 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,656 |
1,629 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
782 |
762 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,343 |
5,198 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
325 |
$29K |
| 99460 |
|
41 |
40 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
54 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,074 |
993 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
14 |
$2K |
| 90686 |
|
2,797 |
2,736 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
45 |
41 |
$1K |
| 36416 |
|
1,926 |
1,697 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,343 |
3,264 |
$1K |
| 90473 |
|
711 |
697 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
174 |
171 |
$619.38 |
| 0124A |
|
16 |
14 |
$541.61 |
| 85018 |
|
362 |
353 |
$536.04 |
| 90670 |
|
1,160 |
1,132 |
$423.99 |
| 90656 |
|
203 |
203 |
$192.13 |
| 90688 |
|
72 |
67 |
$138.97 |
| 96127 |
|
194 |
186 |
$124.49 |
| 99188 |
|
40 |
40 |
$99.48 |
| 90651 |
|
104 |
102 |
$62.72 |
| 91312 |
|
16 |
14 |
$61.61 |
| 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) |
57 |
57 |
$40.00 |
| 90715 |
|
12 |
12 |
$20.46 |
| 96161 |
|
140 |
138 |
$14.71 |
| 90697 |
|
464 |
460 |
$0.00 |
| 90647 |
|
641 |
626 |
$0.00 |
| 90680 |
|
721 |
707 |
$0.00 |
| 90677 |
|
289 |
288 |
$0.00 |
| 90723 |
|
221 |
215 |
$0.00 |
| 82962 |
|
29 |
26 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 3074F |
|
50 |
48 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90633 |
|
187 |
182 |
$0.00 |
| 3078F |
|
35 |
33 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
21 |
$0.00 |
| 90734 |
|
59 |
58 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$0.00 |