| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,082 |
7,116 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,626 |
3,188 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,542 |
1,446 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,349 |
2,188 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,163 |
1,101 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
959 |
923 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,656 |
2,506 |
$64K |
| 87428 |
|
558 |
523 |
$30K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
388 |
371 |
$22K |
| 92552 |
|
1,237 |
1,173 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
749 |
694 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
245 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
492 |
448 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
171 |
$13K |
| 96161 |
|
914 |
856 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,010 |
500 |
$11K |
| 96127 |
|
1,826 |
1,736 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
681 |
638 |
$7K |
| 99173 |
|
1,376 |
1,304 |
$6K |
| 96160 |
|
255 |
237 |
$1K |
| 99383 |
|
15 |
15 |
$1K |
| 83655 |
|
106 |
96 |
$1K |
| 99382 |
|
12 |
12 |
$976.68 |
| 87807 |
|
96 |
96 |
$904.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
49 |
$786.14 |
| 90670 |
|
831 |
790 |
$476.43 |
| 92551 |
|
60 |
57 |
$427.31 |
| 90688 |
|
74 |
68 |
$412.45 |
| 90756 |
|
18 |
17 |
$319.79 |
| 90710 |
|
226 |
206 |
$289.71 |
| 3078F |
|
381 |
326 |
$220.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$181.52 |
| 3074F |
|
346 |
310 |
$170.00 |
| 99421 |
|
13 |
12 |
$157.12 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$63.78 |
| 90686 |
|
43 |
43 |
$61.94 |
| 85018 |
|
25 |
25 |
$59.72 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
38 |
$42.59 |
| 81003 |
|
17 |
12 |
$26.98 |
| 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) |
34 |
27 |
$11.08 |
| 3077F |
|
13 |
12 |
$10.00 |
| 1159F |
|
17 |
14 |
$0.02 |
| 1160F |
|
17 |
14 |
$0.02 |
| 1170F |
|
44 |
40 |
$0.02 |
| 90633 |
|
395 |
368 |
$0.00 |
| 90681 |
|
79 |
66 |
$0.00 |
| 90461 |
|
17 |
14 |
$0.00 |
| 90680 |
|
358 |
353 |
$0.00 |
| 90696 |
|
45 |
40 |
$0.00 |
| 90698 |
|
165 |
162 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
62 |
52 |
$0.00 |
| 90697 |
|
169 |
162 |
$0.00 |
| 90677 |
|
215 |
188 |
$0.00 |
| 90744 |
|
62 |
62 |
$0.00 |
| 3079F |
|
43 |
38 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |