| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,567 |
15,085 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,114 |
7,613 |
$732K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,820 |
5,787 |
$433K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,112 |
4,765 |
$346K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,198 |
4,186 |
$317K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,358 |
2,352 |
$192K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,466 |
5,984 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,630 |
3,621 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,401 |
6,374 |
$73K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,255 |
1,198 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,512 |
1,476 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,585 |
3,028 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
621 |
598 |
$25K |
| 92551 |
|
3,692 |
3,686 |
$24K |
| 90677 |
|
406 |
406 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
505 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
230 |
218 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,088 |
1,059 |
$14K |
| 96127 |
|
3,798 |
3,459 |
$11K |
| 90474 |
|
1,095 |
1,091 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
107 |
106 |
$8K |
| D0190 |
|
513 |
513 |
$8K |
| 90672 |
|
660 |
659 |
$8K |
| 83655 |
|
725 |
724 |
$7K |
| G9007 |
Coordinated care fee, scheduled team conference |
834 |
633 |
$6K |
| 96161 |
|
1,305 |
1,191 |
$5K |
| 0071A |
|
129 |
129 |
$5K |
| 90473 |
|
570 |
569 |
$5K |
| 99177 |
|
3,215 |
3,204 |
$4K |
| 0072A |
|
114 |
114 |
$4K |
| 90480 |
|
114 |
114 |
$4K |
| 99188 |
|
558 |
558 |
$4K |
| 90651 |
|
1,256 |
1,251 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
150 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
209 |
$3K |
| 80061 |
Lipid panel |
242 |
242 |
$2K |
| 99383 |
|
28 |
28 |
$2K |
| 54150 |
|
43 |
40 |
$2K |
| 0001A |
|
48 |
48 |
$2K |
| G9002 |
Coordinated care fee, maintenance rate |
119 |
111 |
$2K |
| 99460 |
|
27 |
27 |
$1K |
| 0002A |
|
32 |
32 |
$1K |
| 36416 |
|
738 |
673 |
$1K |
| 81002 |
|
372 |
353 |
$980.30 |
| 0154A |
|
24 |
24 |
$861.18 |
| 90621 |
|
135 |
135 |
$845.04 |
| 85018 |
|
378 |
377 |
$725.37 |
| 98966 |
|
236 |
205 |
$689.18 |
| 90734 |
|
560 |
558 |
$490.00 |
| 0074A |
|
13 |
13 |
$487.89 |
| 0124A |
|
13 |
13 |
$457.77 |
| 90686 |
|
4,021 |
4,011 |
$424.58 |
| 96380 |
|
14 |
14 |
$244.63 |
| 90670 |
|
3,474 |
3,446 |
$109.00 |
| 90716 |
|
673 |
672 |
$55.00 |
| 90688 |
|
375 |
369 |
$53.52 |
| 90707 |
|
704 |
704 |
$36.00 |
| 90656 |
|
258 |
258 |
$23.47 |
| 99051 |
|
26 |
26 |
$10.00 |
| 90461 |
|
3,157 |
3,101 |
$0.00 |
| G9920 |
Screening performed and negative |
753 |
753 |
$0.00 |
| 90700 |
|
648 |
645 |
$0.00 |
| 99173 |
|
948 |
947 |
$0.00 |
| 90710 |
|
593 |
593 |
$0.00 |
| 90633 |
|
2,818 |
2,801 |
$0.00 |
| 90648 |
|
569 |
569 |
$0.00 |
| 90685 |
|
566 |
549 |
$0.00 |
| 99072 |
|
808 |
718 |
$0.00 |
| 90715 |
|
251 |
249 |
$0.00 |
| 91308 |
|
60 |
59 |
$0.00 |
| 91300 |
|
172 |
161 |
$0.00 |
| 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) |
1,469 |
1,328 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 90696 |
|
538 |
538 |
$0.00 |
| 90698 |
|
2,893 |
2,867 |
$0.00 |
| 90744 |
|
1,984 |
1,962 |
$0.00 |
| 90680 |
|
2,580 |
2,556 |
$0.00 |
| 90619 |
|
159 |
159 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| 91307 |
|
373 |
359 |
$0.00 |
| 90660 |
|
38 |
38 |
$0.00 |
| 91315 |
|
24 |
24 |
$0.00 |