| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197,589 |
193,085 |
$12.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,597 |
48,181 |
$4.62M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,182 |
16,144 |
$1.32M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14,406 |
14,225 |
$514K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,113 |
4,096 |
$403K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,949 |
3,931 |
$339K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,184 |
3,175 |
$310K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,549 |
16,453 |
$299K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,664 |
15,326 |
$230K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,019 |
5,986 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,985 |
1,971 |
$169K |
| 0002A |
|
4,112 |
4,105 |
$156K |
| 0001A |
|
4,159 |
4,147 |
$152K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,595 |
5,564 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
677 |
677 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
667 |
667 |
$73K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,139 |
1,127 |
$67K |
| 36415 |
Collection of venous blood by venipuncture |
15,950 |
15,260 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,272 |
3,238 |
$47K |
| 0004A |
|
1,066 |
1,064 |
$41K |
| 0071A |
|
767 |
765 |
$31K |
| 0072A |
|
689 |
687 |
$28K |
| 90674 |
|
1,862 |
1,849 |
$26K |
| 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) |
1,648 |
1,576 |
$24K |
| 91320 |
|
250 |
249 |
$22K |
| 0012A |
|
641 |
640 |
$21K |
| 0011A |
|
622 |
622 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,044 |
515 |
$15K |
| 99215 |
Prolong outpt/office vis |
112 |
109 |
$15K |
| 0124A |
|
427 |
426 |
$15K |
| 0064A |
|
370 |
369 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,670 |
1,339 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
111 |
$10K |
| 0054A |
|
273 |
269 |
$9K |
| 90480 |
|
339 |
339 |
$9K |
| 0003A |
|
245 |
245 |
$9K |
| 90686 |
|
2,553 |
2,540 |
$9K |
| 0031A |
|
243 |
242 |
$9K |
| 90474 |
|
539 |
536 |
$6K |
| 90473 |
|
340 |
340 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
158 |
$6K |
| 0052A |
|
109 |
109 |
$4K |
| 81002 |
|
1,493 |
1,474 |
$4K |
| 0134A |
|
118 |
118 |
$4K |
| 87634 |
|
56 |
56 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$4K |
| 0074A |
|
82 |
82 |
$3K |
| 99383 |
|
29 |
29 |
$3K |
| 96127 |
|
660 |
606 |
$3K |
| 0051A |
|
69 |
69 |
$3K |
| 90661 |
|
123 |
119 |
$2K |
| 99443 |
|
14 |
14 |
$1K |
| 0154A |
|
34 |
34 |
$1K |
| 36416 |
|
245 |
230 |
$729.60 |
| 0081A |
|
18 |
18 |
$720.00 |
| 90756 |
|
48 |
48 |
$666.60 |
| 0112A |
|
16 |
16 |
$640.00 |
| 0082A |
|
15 |
15 |
$600.00 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
26 |
$576.50 |
| 0034A |
|
15 |
15 |
$560.00 |
| 0111A |
|
13 |
13 |
$520.00 |
| 69210 |
|
28 |
26 |
$486.69 |
| 0144A |
|
12 |
12 |
$480.00 |
| 90694 |
|
17 |
17 |
$478.24 |
| 73110 |
|
28 |
12 |
$409.08 |
| 94760 |
|
204 |
170 |
$403.97 |
| 90656 |
|
163 |
156 |
$302.44 |
| 90662 |
|
27 |
27 |
$288.18 |
| 99459 |
|
14 |
13 |
$254.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$239.84 |
| 90670 |
|
1,589 |
1,576 |
$238.11 |
| G0008 |
Administration of influenza virus vaccine |
237 |
236 |
$220.87 |
| 80305 |
|
24 |
24 |
$205.66 |
| 99177 |
|
84 |
84 |
$182.25 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
40 |
40 |
$83.00 |
| 90696 |
|
74 |
74 |
$40.63 |
| 90658 |
|
1,522 |
1,521 |
$32.16 |
| 90672 |
|
342 |
342 |
$21.25 |
| 90688 |
|
164 |
164 |
$4.51 |
| 90723 |
|
796 |
788 |
$2.12 |
| 90633 |
|
386 |
385 |
$0.00 |
| 90685 |
|
331 |
330 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 91321 |
|
28 |
28 |
$0.00 |
| 90651 |
|
83 |
83 |
$0.00 |
| 90647 |
|
817 |
812 |
$0.00 |
| 90680 |
|
542 |
539 |
$0.00 |
| 90619 |
|
28 |
28 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 91301 |
|
42 |
41 |
$0.00 |
| 91306 |
|
20 |
20 |
$0.00 |
| 91307 |
|
90 |
89 |
$0.00 |