| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,934 |
17,256 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,074 |
6,351 |
$592K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,614 |
3,417 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,593 |
2,486 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,743 |
1,545 |
$117K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,185 |
2,976 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
963 |
940 |
$79K |
| 92551 |
|
6,321 |
5,997 |
$59K |
| 90686 |
|
4,302 |
4,060 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,720 |
2,579 |
$36K |
| 90670 |
|
1,362 |
1,254 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,320 |
1,113 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,838 |
9,948 |
$27K |
| 96160 |
|
12,017 |
11,002 |
$23K |
| 85018 |
|
8,110 |
7,706 |
$18K |
| 99173 |
|
6,038 |
5,743 |
$13K |
| 99188 |
|
695 |
652 |
$13K |
| 96127 |
|
2,427 |
2,318 |
$11K |
| 90651 |
|
308 |
287 |
$11K |
| 90698 |
|
562 |
513 |
$10K |
| 90633 |
|
756 |
703 |
$9K |
| 90461 |
|
4,082 |
3,754 |
$8K |
| 90680 |
|
456 |
415 |
$8K |
| 91321 |
|
154 |
145 |
$7K |
| 0071A |
|
166 |
159 |
$6K |
| 90480 |
|
227 |
215 |
$6K |
| 0072A |
|
129 |
127 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
118 |
$5K |
| 0002A |
|
124 |
119 |
$5K |
| 90716 |
|
253 |
241 |
$4K |
| 0001A |
|
116 |
111 |
$4K |
| 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) |
852 |
749 |
$4K |
| 90744 |
|
381 |
344 |
$4K |
| 90671 |
|
100 |
96 |
$4K |
| 90707 |
|
261 |
244 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
423 |
$4K |
| 90685 |
|
292 |
241 |
$3K |
| 90700 |
|
245 |
227 |
$3K |
| 99177 |
|
683 |
634 |
$3K |
| 90672 |
|
170 |
158 |
$2K |
| 99000 |
|
885 |
815 |
$2K |
| 90656 |
|
141 |
139 |
$2K |
| 96161 |
|
1,378 |
1,111 |
$2K |
| 0111A |
|
40 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
96 |
$2K |
| 90660 |
|
88 |
82 |
$1K |
| 90734 |
|
69 |
62 |
$1K |
| 0124A |
|
30 |
30 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 0073A |
|
30 |
29 |
$1K |
| 0003A |
|
31 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$990.28 |
| 0053A |
|
26 |
26 |
$984.16 |
| 90619 |
|
52 |
43 |
$959.29 |
| 99051 |
|
766 |
713 |
$839.15 |
| 87807 |
|
65 |
62 |
$813.52 |
| 90713 |
|
54 |
53 |
$664.49 |
| 0164A |
|
15 |
15 |
$600.00 |
| 0154A |
|
14 |
14 |
$552.00 |
| 0112A |
|
12 |
12 |
$480.00 |
| 90688 |
|
35 |
33 |
$461.94 |
| 99058 |
|
15 |
14 |
$427.98 |
| 90756 |
|
15 |
13 |
$420.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
280 |
$409.65 |
| 90715 |
|
28 |
27 |
$370.70 |
| 99072 |
|
930 |
819 |
$327.97 |
| 36416 |
|
3,982 |
3,819 |
$288.26 |
| 91322 |
|
12 |
12 |
$282.65 |
| 86580 |
|
27 |
26 |
$203.79 |
| S8301 |
Infection control supplies, not otherwise specified |
655 |
576 |
$169.37 |
| 2015F |
|
53 |
32 |
$147.50 |
| 94664 |
|
12 |
12 |
$146.43 |
| 80061 |
Lipid panel |
21 |
18 |
$135.10 |
| 99001 |
|
865 |
828 |
$110.58 |
| 82947 |
|
22 |
19 |
$74.61 |
| 91307 |
|
450 |
420 |
$3.05 |
| 91300 |
|
351 |
304 |
$2.24 |
| 91311 |
|
138 |
129 |
$1.03 |
| 91312 |
|
30 |
30 |
$0.23 |
| 91305 |
|
34 |
34 |
$0.22 |
| 91315 |
|
14 |
14 |
$0.12 |
| 91316 |
|
15 |
15 |
$0.12 |