| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,371 |
13,179 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,902 |
3,517 |
$387K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,672 |
6,925 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,226 |
1,186 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
907 |
885 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,083 |
988 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
850 |
837 |
$81K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,281 |
1,160 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,089 |
1,053 |
$44K |
| 92558 |
|
2,295 |
2,243 |
$21K |
| 90461 |
|
1,441 |
1,383 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,309 |
1,225 |
$16K |
| 92587 |
|
809 |
803 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,368 |
1,304 |
$13K |
| 96160 |
|
2,767 |
2,632 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
638 |
474 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
231 |
189 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,323 |
2,260 |
$7K |
| 90686 |
|
1,262 |
1,218 |
$7K |
| 96127 |
|
1,662 |
1,570 |
$7K |
| 99401 |
|
249 |
243 |
$7K |
| 99460 |
|
135 |
114 |
$6K |
| 90670 |
|
271 |
256 |
$6K |
| 36410 |
|
335 |
319 |
$5K |
| 97802 |
|
2,293 |
2,168 |
$3K |
| 92567 |
|
249 |
234 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$3K |
| 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) |
838 |
728 |
$2K |
| 90619 |
|
19 |
14 |
$2K |
| 99173 |
|
1,858 |
1,770 |
$2K |
| 99441 |
|
95 |
90 |
$2K |
| 36406 |
|
100 |
95 |
$1K |
| 90716 |
|
73 |
70 |
$1K |
| 87428 |
|
21 |
20 |
$1K |
| 92551 |
|
116 |
109 |
$1K |
| 90734 |
|
12 |
12 |
$974.33 |
| 90661 |
|
164 |
162 |
$916.49 |
| 90707 |
|
39 |
38 |
$827.09 |
| 0001A |
|
14 |
14 |
$560.00 |
| 90700 |
|
152 |
146 |
$530.83 |
| 0002A |
|
12 |
12 |
$510.00 |
| 90698 |
|
90 |
82 |
$443.30 |
| 99000 |
|
3,402 |
3,225 |
$410.35 |
| 90677 |
|
48 |
42 |
$303.21 |
| 90633 |
|
77 |
65 |
$270.26 |
| 85018 |
|
182 |
179 |
$268.71 |
| 86580 |
|
58 |
58 |
$257.85 |
| 90713 |
|
76 |
75 |
$234.34 |
| 90648 |
|
66 |
65 |
$167.82 |
| 90744 |
|
58 |
56 |
$139.92 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
37 |
$100.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
55 |
$96.20 |
| 90680 |
|
55 |
54 |
$95.96 |
| 96161 |
|
46 |
42 |
$73.19 |
| 81003 |
|
114 |
107 |
$33.58 |
| 90674 |
|
13 |
13 |
$26.39 |
| 81002 |
|
45 |
43 |
$26.32 |
| 99072 |
|
654 |
566 |
$12.25 |
| 94760 |
|
33 |
31 |
$7.96 |
| 91300 |
|
30 |
28 |
$4.00 |
| 99070 |
|
201 |
187 |
$2.50 |
| 3008F |
|
97 |
96 |
$0.00 |
| 91307 |
|
31 |
29 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |