| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,539 |
37,084 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,187 |
4,601 |
$384K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,457 |
9,644 |
$309K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,384 |
2,704 |
$298K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,083 |
5,500 |
$219K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,978 |
1,506 |
$158K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
454 |
421 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
201 |
$27K |
| 90734 |
|
1,668 |
1,264 |
$22K |
| 86580 |
|
4,287 |
3,424 |
$21K |
| 90649 |
|
1,231 |
886 |
$16K |
| 90620 |
|
1,193 |
962 |
$15K |
| 93000 |
|
790 |
722 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
243 |
$12K |
| 90651 |
|
679 |
571 |
$12K |
| 99173 |
|
1,593 |
1,315 |
$11K |
| 99402 |
|
341 |
285 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
746 |
724 |
$9K |
| 0011A |
|
209 |
165 |
$8K |
| 0012A |
|
190 |
163 |
$8K |
| 90686 |
|
670 |
629 |
$7K |
| 0001A |
|
150 |
149 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
489 |
398 |
$7K |
| 90715 |
|
615 |
431 |
$6K |
| 0072A |
|
133 |
115 |
$6K |
| 0002A |
|
130 |
130 |
$6K |
| 0071A |
|
111 |
102 |
$5K |
| 0013A |
|
99 |
98 |
$4K |
| 36416 |
|
1,009 |
735 |
$4K |
| 85018 |
|
1,620 |
1,260 |
$4K |
| 85014 |
|
1,530 |
1,183 |
$4K |
| 90688 |
|
430 |
364 |
$3K |
| 99490 |
Ccm add 20min |
237 |
227 |
$2K |
| 90656 |
|
75 |
70 |
$1K |
| 90633 |
|
114 |
54 |
$1K |
| 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) |
197 |
168 |
$978.07 |
| 0031A |
|
18 |
16 |
$759.47 |
| 0003A |
|
13 |
13 |
$568.87 |
| 90716 |
|
40 |
27 |
$463.95 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$339.30 |
| 94760 |
|
70 |
68 |
$284.91 |
| 90658 |
|
20 |
19 |
$155.62 |
| 90707 |
|
14 |
14 |
$89.60 |
| 90713 |
|
13 |
13 |
$83.20 |
| 90700 |
|
13 |
13 |
$83.20 |
| 90696 |
|
13 |
13 |
$83.20 |
| 81025 |
|
14 |
14 |
$76.02 |
| 96160 |
|
19 |
18 |
$73.00 |
| 82962 |
|
24 |
13 |
$54.89 |
| 99072 |
|
2,267 |
1,995 |
$18.75 |
| 3008F |
|
20,874 |
15,993 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
34 |
$0.00 |