| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,647 |
17,010 |
$1.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,832 |
4,705 |
$425K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,346 |
4,227 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,052 |
1,935 |
$184K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,607 |
8,200 |
$121K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,230 |
5,061 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,271 |
1,213 |
$47K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
447 |
424 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,291 |
1,197 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
336 |
305 |
$25K |
| 90474 |
|
1,807 |
1,753 |
$20K |
| D0145 |
Oral evaluation for a patient under three years of age |
423 |
414 |
$15K |
| D1206 |
Topical application of fluoride varnish |
398 |
390 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
222 |
217 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
996 |
984 |
$8K |
| 83655 |
|
612 |
602 |
$8K |
| 96127 |
|
1,593 |
1,513 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
120 |
118 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
893 |
842 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
82 |
73 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
68 |
$2K |
| 87420 |
|
131 |
129 |
$1K |
| 96161 |
|
986 |
929 |
$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) |
317 |
288 |
$648.68 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$578.72 |
| 0071A |
|
12 |
12 |
$430.70 |
| 0001A |
|
14 |
14 |
$335.87 |
| 0002A |
|
12 |
12 |
$296.45 |
| 90670 |
|
3,564 |
3,458 |
$234.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$213.12 |
| 90686 |
|
2,420 |
2,347 |
$66.89 |
| 36416 |
|
515 |
475 |
$2.00 |
| 90677 |
|
174 |
172 |
$0.45 |
| 90633 |
|
1,443 |
1,414 |
$0.39 |
| 90685 |
|
317 |
303 |
$0.14 |
| 90744 |
|
720 |
695 |
$0.10 |
| 90656 |
|
70 |
67 |
$0.05 |
| 90710 |
|
138 |
136 |
$0.04 |
| 90698 |
|
3,421 |
3,316 |
$0.02 |
| 90461 |
|
191 |
187 |
$0.00 |
| 91300 |
|
32 |
30 |
$0.00 |
| 90680 |
|
2,057 |
1,990 |
$0.00 |
| 3008F |
|
865 |
799 |
$0.00 |
| 91307 |
|
19 |
13 |
$0.00 |
| 3352F |
|
21 |
18 |
$0.00 |