| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,164 |
17,995 |
$900K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,135 |
9,649 |
$592K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,568 |
6,854 |
$220K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,042 |
1,912 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,166 |
1,084 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
572 |
564 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
618 |
578 |
$39K |
| 99442 |
|
1,266 |
1,060 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
326 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,694 |
1,596 |
$21K |
| 99215 |
Prolong outpt/office vis |
231 |
223 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
529 |
473 |
$13K |
| 99441 |
|
473 |
443 |
$11K |
| 90461 |
|
289 |
254 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
587 |
557 |
$10K |
| 90686 |
|
570 |
536 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
744 |
604 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
693 |
383 |
$2K |
| 99490 |
Ccm add 20min |
471 |
446 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
40 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
33 |
$984.88 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
127 |
104 |
$727.26 |
| 99439 |
|
123 |
109 |
$289.01 |
| 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) |
111 |
59 |
$253.79 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
223 |
177 |
$175.57 |
| 3008F |
|
632 |
584 |
$141.00 |
| 99397 |
|
13 |
12 |
$126.17 |
| 90658 |
|
45 |
45 |
$121.20 |
| 3078F |
|
355 |
255 |
$67.66 |
| 3074F |
|
361 |
263 |
$65.75 |
| 99173 |
|
13 |
13 |
$43.65 |
| 3077F |
|
138 |
95 |
$26.23 |
| 3075F |
|
98 |
67 |
$15.18 |
| 3080F |
|
75 |
47 |
$15.09 |
| 3079F |
|
84 |
66 |
$10.32 |
| 1125F |
|
18 |
17 |
$4.10 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
30 |
16 |
$3.00 |
| 1160F |
|
53 |
32 |
$0.01 |
| 90698 |
|
15 |
12 |
$0.00 |
| 99401 |
|
23 |
14 |
$0.00 |
| 90670 |
|
49 |
43 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |