| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,001 |
48,336 |
$3.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,759 |
21,137 |
$1.99M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,514 |
8,654 |
$769K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,676 |
8,480 |
$765K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,299 |
4,168 |
$297K |
| 99215 |
Prolong outpt/office vis |
1,158 |
1,105 |
$106K |
| 87428 |
|
2,159 |
2,061 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,457 |
1,430 |
$73K |
| 99051 |
|
23,153 |
21,451 |
$44K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,019 |
1,940 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
879 |
818 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,327 |
4,099 |
$29K |
| 99460 |
|
382 |
376 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,828 |
12,367 |
$24K |
| 90686 |
|
3,503 |
3,408 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
386 |
379 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,173 |
21,550 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
141 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,926 |
1,824 |
$9K |
| 87807 |
|
987 |
943 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
618 |
501 |
$5K |
| 99188 |
|
653 |
644 |
$5K |
| 90461 |
|
242 |
226 |
$5K |
| 36416 |
|
3,801 |
3,258 |
$4K |
| 83655 |
|
1,136 |
1,118 |
$4K |
| 96127 |
|
1,733 |
1,642 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
928 |
919 |
$3K |
| 90474 |
|
2,284 |
2,243 |
$3K |
| 17110 |
|
48 |
41 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
462 |
416 |
$3K |
| 90698 |
|
4,225 |
4,134 |
$2K |
| 91307 |
|
100 |
60 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| 90672 |
|
227 |
226 |
$2K |
| 90688 |
|
555 |
549 |
$2K |
| 90670 |
|
3,658 |
3,580 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,859 |
1,878 |
$1K |
| 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) |
1,988 |
1,824 |
$1K |
| 90685 |
|
197 |
186 |
$1K |
| 85018 |
|
1,635 |
1,606 |
$1K |
| 90473 |
|
286 |
283 |
$1K |
| 90744 |
|
1,300 |
1,269 |
$1K |
| 90633 |
|
1,348 |
1,331 |
$937.80 |
| 90680 |
|
2,572 |
2,528 |
$937.03 |
| 90671 |
|
1,133 |
1,122 |
$893.76 |
| 81002 |
|
300 |
274 |
$828.29 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$819.59 |
| 90651 |
|
524 |
514 |
$812.70 |
| 81003 |
|
346 |
336 |
$672.55 |
| 99383 |
|
12 |
12 |
$613.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
121 |
112 |
$387.00 |
| 90710 |
|
552 |
547 |
$373.63 |
| 90656 |
|
386 |
384 |
$371.42 |
| 90700 |
|
507 |
503 |
$321.97 |
| 96161 |
|
456 |
444 |
$274.09 |
| 99072 |
|
1,040 |
966 |
$235.03 |
| 90619 |
|
332 |
324 |
$134.85 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
19 |
18 |
$129.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
280 |
268 |
$127.68 |
| 90713 |
|
360 |
357 |
$86.23 |
| 90660 |
|
77 |
75 |
$80.02 |
| 80061 |
Lipid panel |
12 |
12 |
$75.88 |
| 96380 |
|
24 |
23 |
$67.08 |
| 82248 |
|
19 |
12 |
$61.21 |
| 82247 |
|
19 |
12 |
$52.79 |
| 90715 |
|
367 |
358 |
$38.02 |
| 99177 |
|
327 |
326 |
$27.60 |
| A4620 |
Variable concentration mask |
13 |
13 |
$0.46 |
| 90620 |
|
130 |
129 |
$0.02 |
| 90648 |
|
735 |
728 |
$0.01 |
| 90723 |
|
605 |
600 |
$0.01 |
| 99173 |
|
560 |
552 |
$0.00 |
| 90707 |
|
451 |
441 |
$0.00 |
| 90734 |
|
154 |
153 |
$0.00 |
| 0071A |
|
42 |
24 |
$0.00 |
| 94760 |
|
44 |
38 |
$0.00 |
| 90716 |
|
463 |
454 |
$0.00 |
| 90696 |
|
152 |
151 |
$0.00 |
| 90381 |
|
18 |
17 |
$0.00 |
| 99000 |
|
25 |
25 |
$0.00 |