| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,059 |
19,007 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,428 |
6,170 |
$584K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,138 |
6,115 |
$488K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,946 |
4,927 |
$386K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,279 |
5,182 |
$378K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,436 |
15,282 |
$315K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,525 |
3,517 |
$300K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,763 |
2,689 |
$295K |
| 99381 |
|
1,056 |
1,054 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,105 |
11,971 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,633 |
2,544 |
$34K |
| 83655 |
|
2,740 |
2,729 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,076 |
3,062 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
879 |
861 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
575 |
561 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
634 |
627 |
$15K |
| 99383 |
|
146 |
146 |
$14K |
| 81003 |
|
6,440 |
6,256 |
$12K |
| 82465 |
|
6,444 |
6,412 |
$12K |
| 96127 |
|
3,789 |
3,776 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
98 |
$9K |
| 99215 |
Prolong outpt/office vis |
56 |
56 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
206 |
205 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
557 |
539 |
$4K |
| 99382 |
|
40 |
40 |
$4K |
| 0001A |
|
77 |
75 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
137 |
136 |
$3K |
| 0002A |
|
71 |
71 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
77 |
$2K |
| 94664 |
|
431 |
419 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 0071A |
|
24 |
24 |
$922.48 |
| 17110 |
|
14 |
13 |
$871.24 |
| 87807 |
|
105 |
103 |
$808.84 |
| 99000 |
|
425 |
418 |
$805.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$472.40 |
| 99441 |
|
12 |
12 |
$420.00 |
| 88720 |
|
129 |
98 |
$364.98 |
| 92567 |
|
45 |
43 |
$349.57 |
| 90677 |
|
530 |
525 |
$288.66 |
| 90621 |
|
766 |
765 |
$269.78 |
| 96161 |
|
133 |
133 |
$196.52 |
| 90461 |
|
6,930 |
6,893 |
$80.00 |
| 90686 |
|
2,247 |
2,243 |
$79.16 |
| 99172 |
|
8,138 |
8,104 |
$0.04 |
| 87110 |
|
845 |
837 |
$0.03 |
| 90633 |
|
2,484 |
2,473 |
$0.00 |
| 90734 |
|
653 |
649 |
$0.00 |
| 91300 |
|
142 |
115 |
$0.00 |
| 90685 |
|
148 |
148 |
$0.00 |
| 90670 |
|
3,852 |
3,839 |
$0.00 |
| 90710 |
|
842 |
840 |
$0.00 |
| 90707 |
|
1,081 |
1,077 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 99071 |
|
437 |
420 |
$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) |
80 |
77 |
$0.00 |
| 99173 |
|
1,665 |
1,657 |
$0.00 |
| 90715 |
|
770 |
768 |
$0.00 |
| 90744 |
|
2,594 |
2,581 |
$0.00 |
| 90651 |
|
1,669 |
1,659 |
$0.00 |
| 90716 |
|
1,080 |
1,074 |
$0.00 |
| 90698 |
|
4,389 |
4,372 |
$0.00 |
| 90619 |
|
936 |
934 |
$0.00 |
| 90680 |
|
2,714 |
2,703 |
$0.00 |
| 91307 |
|
24 |
24 |
$0.00 |
| 94760 |
|
25 |
25 |
$0.00 |
| 90696 |
|
753 |
751 |
$0.00 |
| 90656 |
|
99 |
99 |
$0.00 |
| 3008F |
|
131 |
128 |
$0.00 |