| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78,342 |
74,426 |
$3.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93,383 |
88,613 |
$3.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,359 |
25,598 |
$2.86M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,764 |
19,311 |
$2.08M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23,345 |
22,479 |
$1.48M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15,649 |
14,937 |
$1.06M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39,630 |
36,938 |
$484K |
| 92551 |
|
32,360 |
31,077 |
$433K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,778 |
2,708 |
$254K |
| 99188 |
|
10,664 |
10,232 |
$198K |
| 87428 |
|
2,485 |
2,387 |
$148K |
| 90686 |
|
22,169 |
22,009 |
$128K |
| 99381 |
|
1,789 |
1,750 |
$122K |
| 90734 |
|
3,704 |
3,569 |
$103K |
| 99385 |
|
1,643 |
1,609 |
$94K |
| 99177 |
|
10,091 |
9,715 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,957 |
9,535 |
$91K |
| 99173 |
|
31,597 |
30,374 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,588 |
10,679 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,127 |
6,907 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
874 |
806 |
$66K |
| 90461 |
|
9,052 |
8,611 |
$66K |
| 36415 |
Collection of venous blood by venipuncture |
22,124 |
21,081 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,176 |
1,142 |
$63K |
| 90651 |
|
6,377 |
6,310 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,680 |
2,606 |
$57K |
| 90670 |
|
12,109 |
12,099 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,410 |
2,344 |
$53K |
| 90715 |
|
5,363 |
5,197 |
$40K |
| 90698 |
|
8,036 |
8,010 |
$38K |
| 90633 |
|
8,511 |
8,463 |
$38K |
| 96127 |
|
12,000 |
11,656 |
$33K |
| 90682 |
|
1,921 |
1,917 |
$31K |
| 90680 |
|
8,185 |
8,176 |
$30K |
| 90620 |
|
2,939 |
2,864 |
$30K |
| 99215 |
Prolong outpt/office vis |
451 |
435 |
$26K |
| 90677 |
|
3,215 |
3,205 |
$17K |
| 90744 |
|
3,698 |
3,691 |
$17K |
| 90697 |
|
4,923 |
4,797 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
297 |
$15K |
| 90707 |
|
3,150 |
3,142 |
$13K |
| 90716 |
|
3,284 |
3,282 |
$13K |
| 99383 |
|
172 |
169 |
$13K |
| 3078F |
|
3,121 |
2,984 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,204 |
723 |
$12K |
| 90696 |
|
3,121 |
3,097 |
$12K |
| 90710 |
|
3,319 |
3,312 |
$11K |
| 3074F |
|
2,478 |
2,360 |
$11K |
| G0008 |
Administration of influenza virus vaccine |
969 |
766 |
$10K |
| 90656 |
|
2,129 |
2,119 |
$9K |
| 3079F |
|
1,658 |
1,615 |
$7K |
| 99386 |
|
146 |
146 |
$7K |
| 3077F |
|
1,702 |
1,656 |
$7K |
| 90619 |
|
2,288 |
2,280 |
$7K |
| 0012A |
|
117 |
116 |
$5K |
| 94664 |
|
203 |
192 |
$5K |
| 90732 |
|
81 |
81 |
$4K |
| 90746 |
|
125 |
125 |
$4K |
| 0011A |
|
116 |
115 |
$4K |
| 3075F |
|
749 |
734 |
$3K |
| 99442 |
|
111 |
100 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
43 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
48 |
48 |
$2K |
| 90662 |
|
341 |
336 |
$2K |
| 3080F |
|
521 |
504 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
112 |
101 |
$2K |
| 90700 |
|
381 |
381 |
$2K |
| 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) |
132 |
125 |
$1K |
| 90648 |
|
249 |
249 |
$1K |
| 83655 |
|
356 |
324 |
$1K |
| 99000 |
|
35,267 |
33,192 |
$1K |
| 99174 |
|
201 |
198 |
$910.06 |
| 96161 |
|
1,415 |
1,239 |
$895.69 |
| 99384 |
|
12 |
12 |
$894.12 |
| 90688 |
|
651 |
651 |
$843.00 |
| 90713 |
|
108 |
108 |
$711.17 |
| 86580 |
|
180 |
153 |
$699.43 |
| 90480 |
|
52 |
42 |
$662.84 |
| 69210 |
|
30 |
28 |
$658.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
69 |
$581.08 |
| 3044F |
|
133 |
132 |
$535.00 |
| 81002 |
|
867 |
840 |
$484.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
75 |
$466.27 |
| 99406 |
|
41 |
40 |
$422.70 |
| 93000 |
|
13 |
13 |
$400.98 |
| 87807 |
|
193 |
189 |
$376.85 |
| 81025 |
|
82 |
76 |
$313.61 |
| 99441 |
|
14 |
13 |
$201.78 |
| 96160 |
|
152 |
143 |
$181.37 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
129 |
124 |
$162.50 |
| 36416 |
|
3,221 |
3,139 |
$81.68 |
| G0405 |
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
17 |
17 |
$56.00 |
| G9920 |
Screening performed and negative |
4,310 |
3,928 |
$11.60 |
| 1160F |
|
34 |
34 |
$0.07 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$0.03 |
| 1124F |
|
1,981 |
1,758 |
$0.00 |
| 90630 |
|
46 |
46 |
$0.00 |
| 90687 |
|
13 |
13 |
$0.00 |
| 91321 |
|
92 |
92 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 1123F |
|
41 |
41 |
$0.00 |
| 96156 |
|
13 |
13 |
$0.00 |