| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,259 |
35,602 |
$2.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,195 |
37,934 |
$1.84M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,517 |
28,447 |
$1.44M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,616 |
18,669 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,142 |
14,178 |
$1.12M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,150 |
9,746 |
$795K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,724 |
4,070 |
$370K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,038 |
22,440 |
$246K |
| 99401 |
|
11,697 |
9,859 |
$219K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,003 |
5,912 |
$197K |
| 96161 |
|
12,854 |
11,638 |
$194K |
| 87428 |
|
2,713 |
2,618 |
$159K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,173 |
5,590 |
$151K |
| 80061 |
Lipid panel |
6,279 |
5,425 |
$78K |
| 99177 |
|
11,128 |
10,008 |
$70K |
| 83655 |
|
5,470 |
5,034 |
$64K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,144 |
1,064 |
$59K |
| 99460 |
|
1,143 |
1,073 |
$59K |
| 96160 |
|
4,677 |
3,804 |
$59K |
| 85018 |
|
25,199 |
22,362 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,574 |
4,921 |
$44K |
| 36416 |
|
32,374 |
28,554 |
$44K |
| 1160F |
|
36,948 |
32,954 |
$42K |
| 1159F |
|
35,554 |
31,753 |
$42K |
| 92558 |
|
5,533 |
5,016 |
$35K |
| 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) |
3,658 |
3,486 |
$30K |
| 92551 |
|
3,883 |
3,388 |
$30K |
| 87081 |
|
7,766 |
7,005 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,629 |
1,596 |
$20K |
| 3008F |
|
22,396 |
20,240 |
$17K |
| 3074F |
|
12,043 |
10,447 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
529 |
$16K |
| 3078F |
|
11,941 |
10,378 |
$16K |
| 90670 |
|
10,391 |
9,671 |
$16K |
| 87807 |
|
1,527 |
1,395 |
$15K |
| 96127 |
|
3,541 |
2,973 |
$15K |
| 90461 |
|
20,299 |
18,404 |
$14K |
| 90651 |
|
1,528 |
1,295 |
$13K |
| 81001 |
|
5,405 |
4,725 |
$13K |
| 88738 |
|
2,470 |
2,176 |
$10K |
| 99381 |
|
141 |
133 |
$10K |
| 92081 |
|
255 |
240 |
$9K |
| 90716 |
|
3,762 |
3,475 |
$8K |
| 90698 |
|
7,750 |
7,233 |
$5K |
| 90707 |
|
3,314 |
3,087 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
182 |
$4K |
| 90680 |
|
7,842 |
7,237 |
$4K |
| 90686 |
|
7,847 |
7,416 |
$4K |
| 96380 |
|
172 |
143 |
$4K |
| 99173 |
|
687 |
610 |
$3K |
| 90677 |
|
2,049 |
1,841 |
$3K |
| 90619 |
|
550 |
365 |
$3K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
12 |
12 |
$2K |
| 90633 |
|
4,564 |
4,294 |
$2K |
| 90734 |
|
345 |
314 |
$2K |
| 90697 |
|
1,723 |
1,532 |
$1K |
| 90480 |
|
35 |
33 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
59 |
$1K |
| 99462 |
|
35 |
25 |
$772.46 |
| 90744 |
|
5,123 |
4,819 |
$670.11 |
| 92587 |
|
13 |
12 |
$557.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$489.57 |
| 90715 |
|
228 |
182 |
$435.89 |
| 90696 |
|
301 |
270 |
$402.31 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
78 |
$166.55 |
| 99051 |
|
51 |
50 |
$151.68 |
| 91321 |
|
27 |
27 |
$147.25 |
| 90700 |
|
222 |
201 |
$138.35 |
| 90656 |
|
314 |
297 |
$100.90 |
| 3079F |
|
34 |
28 |
$80.00 |
| 90648 |
|
213 |
191 |
$57.16 |
| 99072 |
|
13,140 |
12,323 |
$4.94 |
| 99000 |
|
3,163 |
2,909 |
$3.95 |
| 90661 |
|
216 |
174 |
$0.28 |
| 90380 |
|
45 |
41 |
$0.06 |
| 90381 |
|
33 |
21 |
$0.04 |
| 90674 |
|
407 |
333 |
$0.00 |
| 3048F |
|
1,255 |
1,172 |
$0.00 |
| 90688 |
|
46 |
38 |
$0.00 |
| 90620 |
|
18 |
12 |
$0.00 |
| 90685 |
|
415 |
404 |
$0.00 |