| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,096 |
23,255 |
$1.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,802 |
7,499 |
$737K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,702 |
4,297 |
$285K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,430 |
4,009 |
$266K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,982 |
3,531 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,672 |
2,125 |
$124K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,213 |
2,065 |
$74K |
| 90670 |
|
3,629 |
3,385 |
$65K |
| 90648 |
|
3,196 |
2,961 |
$57K |
| 90723 |
|
2,273 |
2,107 |
$40K |
| 90680 |
|
2,265 |
2,104 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,986 |
1,895 |
$39K |
| 90633 |
|
2,069 |
1,856 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,800 |
2,528 |
$33K |
| 92551 |
|
7,240 |
5,973 |
$31K |
| 90688 |
|
1,736 |
1,539 |
$29K |
| 90710 |
|
1,655 |
1,450 |
$28K |
| 99401 |
|
1,253 |
903 |
$27K |
| 99173 |
|
8,008 |
6,650 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,796 |
2,420 |
$24K |
| 90651 |
|
1,293 |
1,035 |
$22K |
| 96127 |
|
4,530 |
3,646 |
$16K |
| 90734 |
|
1,013 |
818 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
529 |
405 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
608 |
555 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
372 |
335 |
$13K |
| 90685 |
|
692 |
641 |
$12K |
| 87070 |
|
1,229 |
1,112 |
$11K |
| 90696 |
|
430 |
337 |
$6K |
| 90715 |
|
392 |
309 |
$6K |
| 90700 |
|
336 |
309 |
$6K |
| 92552 |
|
203 |
197 |
$5K |
| 86710 |
|
371 |
356 |
$5K |
| 87276 |
|
371 |
357 |
$5K |
| 90620 |
|
294 |
221 |
$4K |
| 90649 |
|
280 |
204 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$4K |
| 90656 |
|
308 |
204 |
$4K |
| 90461 |
|
118 |
103 |
$2K |
| 90671 |
|
121 |
105 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
328 |
286 |
$2K |
| 99383 |
|
31 |
28 |
$2K |
| 99000 |
|
963 |
857 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
83 |
$2K |
| 90655 |
|
102 |
77 |
$1K |
| 96160 |
|
820 |
611 |
$1K |
| 90698 |
|
67 |
67 |
$1K |
| 90658 |
|
67 |
63 |
$1K |
| 99460 |
|
14 |
13 |
$1K |
| 99382 |
|
31 |
24 |
$990.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$840.00 |
| 83655 |
|
81 |
74 |
$451.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
16 |
$306.20 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
159 |
$244.00 |
| 90621 |
|
12 |
12 |
$217.69 |
| 81025 |
|
60 |
41 |
$125.60 |
| 81003 |
|
47 |
42 |
$120.00 |
| 81002 |
|
54 |
40 |
$114.38 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
114 |
101 |
$0.00 |