| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,988 |
50,436 |
$2.32M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,728 |
7,554 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,077 |
9,484 |
$610K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,985 |
7,830 |
$586K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,548 |
5,364 |
$405K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,127 |
19,404 |
$319K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,139 |
19,063 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,990 |
1,931 |
$129K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,872 |
8,722 |
$122K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,062 |
2,862 |
$108K |
| 90620 |
|
1,635 |
1,485 |
$95K |
| 90651 |
|
1,567 |
1,418 |
$93K |
| 95930 |
|
1,212 |
1,212 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,144 |
3,425 |
$79K |
| 90461 |
|
4,770 |
4,583 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,151 |
4,076 |
$65K |
| 90677 |
|
341 |
326 |
$55K |
| 90686 |
|
8,509 |
7,900 |
$54K |
| 92587 |
|
2,012 |
2,011 |
$49K |
| 90619 |
|
537 |
494 |
$49K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,134 |
7,700 |
$48K |
| 3008F |
|
18,440 |
17,751 |
$44K |
| 90734 |
|
772 |
734 |
$30K |
| 99188 |
|
1,726 |
1,586 |
$28K |
| 94060 |
|
549 |
501 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,494 |
1,449 |
$22K |
| 96127 |
|
6,151 |
6,036 |
$20K |
| 99173 |
|
15,751 |
14,760 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,645 |
3,633 |
$15K |
| 92583 |
|
799 |
799 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
153 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,327 |
1,245 |
$12K |
| 90710 |
|
452 |
363 |
$11K |
| 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) |
2,224 |
2,000 |
$10K |
| 99401 |
|
441 |
407 |
$9K |
| 92551 |
|
1,608 |
1,608 |
$9K |
| 0071A |
|
319 |
181 |
$6K |
| 99050 |
|
567 |
559 |
$6K |
| 83655 |
|
722 |
590 |
$6K |
| 90656 |
|
548 |
544 |
$6K |
| 90670 |
|
1,043 |
806 |
$6K |
| 0072A |
|
190 |
129 |
$5K |
| 97802 |
|
12,625 |
11,908 |
$4K |
| 90633 |
|
1,198 |
1,025 |
$4K |
| 90715 |
|
428 |
376 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
343 |
335 |
$3K |
| 85018 |
|
2,027 |
1,653 |
$3K |
| 96160 |
|
914 |
806 |
$3K |
| 36416 |
|
529 |
484 |
$2K |
| 90716 |
|
242 |
201 |
$2K |
| 90474 |
|
271 |
258 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99177 |
|
227 |
227 |
$1K |
| 96161 |
|
518 |
477 |
$1K |
| 99381 |
|
14 |
12 |
$1K |
| 90680 |
|
519 |
454 |
$1K |
| 90744 |
|
208 |
183 |
$1K |
| 90696 |
|
168 |
125 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,699 |
1,611 |
$969.59 |
| 90707 |
|
119 |
100 |
$804.76 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
95 |
$801.94 |
| 90698 |
|
192 |
161 |
$706.71 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
65 |
$661.97 |
| 99070 |
|
8,126 |
7,716 |
$620.00 |
| 90473 |
|
606 |
603 |
$519.09 |
| 81002 |
|
218 |
208 |
$354.16 |
| 90685 |
|
231 |
182 |
$344.08 |
| 86710 |
|
169 |
152 |
$315.00 |
| 87807 |
|
197 |
113 |
$302.88 |
| 94010 |
|
12 |
12 |
$273.37 |
| 90697 |
|
22 |
16 |
$267.00 |
| 90700 |
|
175 |
140 |
$219.87 |
| 99051 |
|
64 |
64 |
$159.17 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$140.48 |
| 99174 |
|
13 |
13 |
$83.37 |
| 90648 |
|
250 |
232 |
$69.22 |
| S9470 |
Nutritional counseling, dietitian visit |
95 |
95 |
$65.00 |
| 94760 |
|
693 |
610 |
$18.51 |
| 90723 |
|
71 |
71 |
$0.00 |
| 2000F |
|
13 |
13 |
$0.00 |
| 90621 |
|
29 |
29 |
$0.00 |