| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,565 |
30,285 |
$2.87M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,241 |
14,915 |
$716K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,561 |
5,556 |
$585K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,247 |
4,126 |
$480K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,563 |
4,558 |
$469K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,323 |
4,294 |
$408K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,045 |
15,701 |
$399K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,243 |
2,241 |
$227K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26,475 |
23,486 |
$160K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,554 |
5,404 |
$131K |
| 87070 |
|
23,071 |
20,606 |
$126K |
| 87184 |
|
23,069 |
20,605 |
$102K |
| 92551 |
|
8,442 |
8,437 |
$87K |
| 99050 |
|
8,695 |
8,265 |
$83K |
| 69210 |
|
907 |
710 |
$45K |
| 99460 |
|
543 |
542 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
617 |
611 |
$33K |
| 96127 |
|
4,428 |
2,991 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,565 |
3,561 |
$23K |
| 83655 |
|
2,334 |
2,331 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,249 |
816 |
$22K |
| 85018 |
|
13,260 |
13,245 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
146 |
$15K |
| 99188 |
|
1,127 |
1,125 |
$15K |
| 99173 |
|
6,364 |
6,360 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,751 |
3,369 |
$13K |
| 99381 |
|
106 |
105 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
446 |
431 |
$5K |
| 92557 |
|
105 |
105 |
$5K |
| 17250 |
|
68 |
60 |
$4K |
| D1206 |
Topical application of fluoride varnish |
140 |
140 |
$4K |
| 10060 |
|
34 |
29 |
$4K |
| 96160 |
|
1,555 |
1,555 |
$3K |
| 81002 |
|
1,091 |
1,036 |
$2K |
| 96161 |
|
918 |
915 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
843 |
484 |
$1K |
| 51701 |
|
28 |
28 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
927 |
917 |
$562.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
20 |
$410.35 |
| 87807 |
|
68 |
66 |
$358.07 |
| 99462 |
|
14 |
14 |
$202.56 |
| 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) |
16 |
12 |
$160.00 |
| 94760 |
|
197 |
168 |
$135.40 |
| 90686 |
|
505 |
503 |
$98.99 |
| 90715 |
|
113 |
113 |
$77.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
166 |
162 |
$31.09 |
| 36416 |
|
13,761 |
13,329 |
$21.08 |
| 90688 |
|
705 |
702 |
$18.84 |
| 99000 |
|
1,031 |
1,012 |
$0.14 |
| 90670 |
|
975 |
971 |
$0.00 |
| 90700 |
|
558 |
556 |
$0.00 |
| 90633 |
|
394 |
392 |
$0.00 |
| 90713 |
|
301 |
301 |
$0.00 |
| 90707 |
|
407 |
407 |
$0.00 |
| 90734 |
|
183 |
183 |
$0.00 |
| 87400 |
|
150 |
72 |
$0.00 |
| 90744 |
|
863 |
861 |
$0.00 |
| 90698 |
|
751 |
748 |
$0.00 |
| 90647 |
|
228 |
227 |
$0.00 |
| 90716 |
|
465 |
465 |
$0.00 |
| 90619 |
|
49 |
49 |
$0.00 |
| 97802 |
|
59 |
59 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |