| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,578 |
7,239 |
$731K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,903 |
8,723 |
$628K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,497 |
1,491 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,628 |
2,389 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,221 |
1,220 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,146 |
5,032 |
$71K |
| 99215 |
Prolong outpt/office vis |
571 |
515 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
567 |
564 |
$40K |
| 96127 |
|
4,361 |
4,304 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,920 |
1,448 |
$33K |
| 90461 |
|
1,128 |
1,110 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
851 |
818 |
$24K |
| 92551 |
|
3,652 |
3,643 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
143 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
190 |
185 |
$12K |
| 99429 |
|
939 |
903 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
340 |
334 |
$12K |
| 0124A |
|
245 |
242 |
$9K |
| 99415 |
Prolong outpt/office vis |
738 |
698 |
$9K |
| 0003A |
|
228 |
228 |
$9K |
| 0072A |
|
178 |
177 |
$7K |
| 90686 |
|
3,175 |
3,140 |
$6K |
| 81000 |
|
2,636 |
2,577 |
$6K |
| 0071A |
|
139 |
138 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
199 |
186 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
673 |
665 |
$4K |
| 81002 |
|
1,583 |
1,548 |
$3K |
| 99173 |
|
3,719 |
3,707 |
$3K |
| 99442 |
|
41 |
37 |
$2K |
| 99050 |
|
695 |
662 |
$2K |
| 0144A |
|
56 |
56 |
$2K |
| 0011A |
|
58 |
58 |
$2K |
| 96160 |
|
5,140 |
5,104 |
$2K |
| 0001A |
|
46 |
46 |
$2K |
| 90621 |
|
55 |
54 |
$2K |
| 90480 |
|
122 |
122 |
$1K |
| 99051 |
|
402 |
392 |
$1K |
| 0012A |
|
33 |
33 |
$1K |
| 0073A |
|
29 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
127 |
$1K |
| 91322 |
|
38 |
38 |
$900.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
110 |
$757.67 |
| 90651 |
|
136 |
134 |
$674.76 |
| 90473 |
|
82 |
82 |
$647.05 |
| 0002A |
|
18 |
18 |
$635.89 |
| 0082A |
|
14 |
14 |
$532.00 |
| 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) |
78 |
78 |
$527.35 |
| 90656 |
|
160 |
158 |
$450.36 |
| 90658 |
|
167 |
166 |
$441.37 |
| 99354 |
|
71 |
71 |
$421.89 |
| 99401 |
|
12 |
12 |
$351.34 |
| 99358 |
Prolong nursin fac eval 15m |
57 |
50 |
$343.67 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$329.42 |
| 99422 |
|
20 |
20 |
$324.25 |
| 99408 |
|
1,916 |
1,909 |
$240.07 |
| 90660 |
|
83 |
83 |
$204.08 |
| 96161 |
|
186 |
180 |
$190.16 |
| 99402 |
|
13 |
13 |
$166.30 |
| 92567 |
|
12 |
12 |
$145.86 |
| 91307 |
|
430 |
402 |
$85.45 |
| 94760 |
|
1,991 |
1,836 |
$45.64 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$16.40 |
| 99058 |
|
3,240 |
3,043 |
$13.83 |
| 91312 |
|
177 |
176 |
$11.13 |
| 91300 |
|
545 |
537 |
$0.75 |
| 91308 |
|
12 |
12 |
$0.01 |
| 99080 |
|
661 |
251 |
$0.00 |
| 90734 |
|
79 |
79 |
$0.00 |
| 90670 |
|
88 |
88 |
$0.00 |
| 91321 |
|
30 |
30 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 91301 |
|
66 |
65 |
$0.00 |