| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,856 |
10,038 |
$863K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,468 |
8,947 |
$702K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
886 |
790 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,032 |
941 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,005 |
894 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
785 |
721 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
407 |
392 |
$48K |
| 90686 |
|
1,866 |
1,719 |
$40K |
| 92551 |
|
2,089 |
1,934 |
$19K |
| 99215 |
Prolong outpt/office vis |
177 |
159 |
$14K |
| 90648 |
|
626 |
557 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,401 |
1,254 |
$12K |
| 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) |
172 |
126 |
$11K |
| 90677 |
|
255 |
230 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
231 |
215 |
$10K |
| 90670 |
|
434 |
403 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
605 |
525 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
146 |
$7K |
| 90674 |
|
312 |
290 |
$6K |
| 90723 |
|
302 |
263 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
240 |
215 |
$6K |
| 96127 |
|
794 |
749 |
$4K |
| 90653 |
|
142 |
139 |
$3K |
| 99173 |
|
1,294 |
1,225 |
$3K |
| 90680 |
|
145 |
131 |
$3K |
| 90480 |
|
63 |
60 |
$2K |
| 90682 |
|
42 |
26 |
$2K |
| 90651 |
|
68 |
64 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
21 |
15 |
$2K |
| 99442 |
|
41 |
37 |
$2K |
| 96160 |
|
535 |
477 |
$2K |
| 80061 |
Lipid panel |
165 |
121 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
47 |
$1K |
| 90756 |
|
95 |
89 |
$1K |
| 90661 |
|
76 |
76 |
$1K |
| 90734 |
|
46 |
42 |
$977.75 |
| 0071A |
|
18 |
18 |
$680.64 |
| 36415 |
Collection of venous blood by venipuncture |
374 |
284 |
$677.60 |
| 0072A |
|
14 |
12 |
$488.00 |
| 0124A |
|
12 |
12 |
$480.00 |
| 99050 |
|
29 |
27 |
$465.00 |
| 90662 |
|
204 |
150 |
$461.45 |
| 90656 |
|
19 |
19 |
$442.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$395.51 |
| 85018 |
|
200 |
164 |
$363.08 |
| 96161 |
|
128 |
100 |
$333.90 |
| 90715 |
|
13 |
13 |
$302.64 |
| 83655 |
|
26 |
25 |
$297.25 |
| 99177 |
|
55 |
55 |
$296.35 |
| 90633 |
|
14 |
12 |
$279.36 |
| 80053 |
Comprehensive metabolic panel |
56 |
40 |
$270.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
34 |
$237.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
15 |
$232.80 |
| 81003 |
|
149 |
116 |
$204.54 |
| 99441 |
|
13 |
12 |
$192.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$105.78 |
| 3074F |
|
2,330 |
1,854 |
$105.00 |
| 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 |
15 |
15 |
$97.57 |
| 93000 |
|
55 |
43 |
$27.25 |
| 36416 |
|
32 |
25 |
$20.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
12 |
$19.72 |
| 3078F |
|
2,008 |
1,638 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |
| 3079F |
|
129 |
110 |
$0.00 |
| 1000F |
|
120 |
61 |
$0.00 |