| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,853 |
34,586 |
$2.35M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43,154 |
40,051 |
$1.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,622 |
20,838 |
$1.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,776 |
14,077 |
$1.52M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,912 |
11,902 |
$1.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,735 |
4,591 |
$462K |
| 90461 |
|
14,224 |
12,781 |
$328K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,773 |
1,705 |
$185K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
676 |
593 |
$69K |
| 0240U |
|
389 |
359 |
$43K |
| 99188 |
|
1,495 |
1,429 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
810 |
724 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,417 |
1,259 |
$15K |
| 87428 |
|
321 |
305 |
$12K |
| 83655 |
|
977 |
845 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
108 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,529 |
1,427 |
$5K |
| 92552 |
|
304 |
259 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
282 |
125 |
$3K |
| 85018 |
|
1,582 |
1,391 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
77 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
158 |
$1K |
| 96161 |
|
803 |
576 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
84 |
26 |
$1K |
| 99381 |
|
20 |
12 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
20 |
20 |
$1K |
| 90656 |
|
449 |
449 |
$1K |
| 90670 |
|
4,940 |
4,300 |
$998.07 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
333 |
242 |
$927.35 |
| 90686 |
|
4,801 |
4,581 |
$851.97 |
| 87807 |
|
73 |
68 |
$667.91 |
| 90680 |
|
1,442 |
1,295 |
$475.00 |
| 0071A |
|
17 |
13 |
$458.00 |
| 99173 |
|
1,876 |
1,767 |
$394.51 |
| 90633 |
|
1,119 |
967 |
$375.00 |
| 96160 |
|
265 |
250 |
$363.58 |
| 59430 |
|
12 |
12 |
$294.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
24 |
$256.32 |
| 90710 |
|
59 |
57 |
$236.03 |
| 99349 |
|
19 |
14 |
$222.29 |
| 96127 |
|
155 |
150 |
$180.57 |
| 90681 |
|
249 |
220 |
$175.00 |
| 99174 |
|
417 |
392 |
$154.34 |
| 93000 |
|
12 |
12 |
$101.23 |
| 94760 |
|
60 |
46 |
$93.60 |
| 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) |
576 |
544 |
$70.13 |
| 81003 |
|
36 |
36 |
$69.50 |
| 90648 |
|
2,666 |
2,295 |
$11.56 |
| 90688 |
|
136 |
136 |
$10.38 |
| 90723 |
|
1,265 |
1,181 |
$0.00 |
| 90698 |
|
2,247 |
2,089 |
$0.00 |
| 3079F |
|
292 |
283 |
$0.00 |
| 3075F |
|
196 |
190 |
$0.00 |
| 3044F |
|
103 |
103 |
$0.00 |
| 90651 |
|
147 |
147 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
128 |
121 |
$0.00 |
| 3074F |
|
659 |
629 |
$0.00 |
| 91307 |
|
91 |
79 |
$0.00 |
| 36416 |
|
589 |
509 |
$0.00 |
| 90744 |
|
253 |
180 |
$0.00 |
| 3008F |
|
14 |
13 |
$0.00 |
| 90677 |
|
111 |
97 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
77 |
75 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$0.00 |
| 99090 |
|
16 |
12 |
$0.00 |
| 99177 |
|
1,989 |
1,809 |
$0.00 |
| 90671 |
|
952 |
891 |
$0.00 |
| 90734 |
|
96 |
89 |
$0.00 |
| 99080 |
|
774 |
717 |
$0.00 |
| 1159F |
|
199 |
195 |
$0.00 |
| 3077F |
|
175 |
170 |
$0.00 |
| 3078F |
|
858 |
815 |
$0.00 |
| 1160F |
|
193 |
190 |
$0.00 |
| 90662 |
|
49 |
49 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
87 |
84 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |