| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,057 |
11,249 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,128 |
13,609 |
$975K |
| 99199 |
Unlisted special service, procedure or report |
194,524 |
91,741 |
$937K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,671 |
2,762 |
$321K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,871 |
13,109 |
$299K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,449 |
2,117 |
$232K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,094 |
5,072 |
$198K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,001 |
2,324 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,212 |
9,264 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
884 |
791 |
$86K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,053 |
836 |
$78K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,592 |
2,033 |
$53K |
| 99051 |
|
2,036 |
1,735 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,337 |
1,309 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,415 |
2,080 |
$30K |
| 99401 |
|
763 |
549 |
$27K |
| D0145 |
Oral evaluation for a patient under three years of age |
680 |
594 |
$24K |
| 99215 |
Prolong outpt/office vis |
143 |
122 |
$19K |
| 92551 |
|
5,954 |
5,115 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
330 |
$13K |
| 87081 |
|
2,037 |
1,674 |
$13K |
| 90686 |
|
5,338 |
4,599 |
$10K |
| D1206 |
Topical application of fluoride varnish |
667 |
581 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
77 |
$9K |
| 96160 |
|
2,618 |
2,402 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
278 |
206 |
$6K |
| 99173 |
|
4,618 |
3,968 |
$5K |
| 0071A |
|
93 |
61 |
$4K |
| 87807 |
|
322 |
269 |
$4K |
| 90474 |
|
311 |
146 |
$3K |
| 0072A |
|
49 |
45 |
$3K |
| 90656 |
|
319 |
302 |
$2K |
| 90677 |
|
40 |
40 |
$2K |
| 90670 |
|
688 |
463 |
$1K |
| 96161 |
|
339 |
245 |
$1K |
| 90480 |
|
25 |
25 |
$925.59 |
| 96127 |
|
149 |
132 |
$621.53 |
| 91307 |
|
160 |
138 |
$251.82 |
| 90647 |
|
180 |
161 |
$213.54 |
| 83655 |
|
15 |
12 |
$212.60 |
| 90680 |
|
311 |
147 |
$201.01 |
| 90723 |
|
334 |
162 |
$196.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$114.96 |
| 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) |
38 |
36 |
$89.12 |
| 90685 |
|
87 |
64 |
$60.99 |
| 85018 |
|
15 |
12 |
$32.64 |
| 36416 |
|
1,027 |
865 |
$8.05 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
993 |
953 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
124 |
114 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 99072 |
|
517 |
411 |
$0.00 |
| 98960 |
|
2,221 |
2,039 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3725F |
|
33 |
29 |
$0.00 |
| 90710 |
|
18 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |