| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,263 |
10,275 |
$582K |
| 99401 |
|
3,856 |
2,895 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,740 |
1,262 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,118 |
849 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,034 |
799 |
$73K |
| 92587 |
|
3,213 |
2,541 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,879 |
2,264 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,299 |
1,019 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
590 |
496 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,423 |
1,132 |
$34K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
466 |
350 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,298 |
1,306 |
$28K |
| 96160 |
|
1,834 |
1,306 |
$22K |
| 99407 |
|
1,740 |
1,338 |
$21K |
| 99408 |
|
1,575 |
1,152 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,659 |
1,346 |
$14K |
| 88738 |
|
4,087 |
3,097 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
145 |
110 |
$12K |
| 90686 |
|
1,332 |
1,070 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
557 |
$11K |
| 99173 |
|
2,273 |
1,800 |
$11K |
| 80061 |
Lipid panel |
3,290 |
2,436 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,596 |
2,014 |
$10K |
| 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) |
440 |
355 |
$9K |
| 82947 |
|
3,347 |
2,482 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
254 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,906 |
4,473 |
$7K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,319 |
1,006 |
$7K |
| 81003 |
|
5,015 |
3,804 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
644 |
476 |
$6K |
| 92567 |
|
458 |
365 |
$5K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
353 |
225 |
$5K |
| 82044 |
|
1,137 |
877 |
$4K |
| 96127 |
|
1,474 |
1,115 |
$4K |
| 3008F |
|
400 |
281 |
$3K |
| 82570 |
|
1,143 |
878 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
26 |
$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) |
228 |
187 |
$1K |
| 90688 |
|
178 |
129 |
$1K |
| 0064A |
|
36 |
27 |
$720.00 |
| 0012A |
|
25 |
19 |
$640.00 |
| 0011A |
|
28 |
20 |
$631.06 |
| 83037 |
|
160 |
130 |
$618.90 |
| 0013A |
|
23 |
12 |
$400.00 |
| 90649 |
|
44 |
38 |
$303.23 |
| 81025 |
|
50 |
38 |
$234.46 |
| 90658 |
|
14 |
13 |
$146.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
79 |
$98.36 |
| 90660 |
|
72 |
35 |
$35.20 |
| 91301 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
30 |
$0.00 |
| 91306 |
|
18 |
12 |
$0.00 |