| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,916 |
4,538 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,012 |
969 |
$108K |
| 99349 |
|
526 |
463 |
$60K |
| 99050 |
|
3,368 |
2,829 |
$21K |
| 92587 |
|
809 |
794 |
$20K |
| 87070 |
|
2,593 |
2,227 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
171 |
$15K |
| 87184 |
|
2,436 |
2,089 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
654 |
646 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
121 |
$11K |
| 92567 |
|
774 |
698 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
112 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,730 |
1,546 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,520 |
1,484 |
$7K |
| 99051 |
|
826 |
763 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
91 |
$2K |
| 90677 |
|
36 |
36 |
$2K |
| 97802 |
|
119 |
119 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
100 |
100 |
$2K |
| 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) |
66 |
64 |
$590.39 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$545.93 |
| 99173 |
|
418 |
406 |
$536.67 |
| 86580 |
|
34 |
34 |
$197.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
40 |
$160.93 |
| 36415 |
Collection of venous blood by venipuncture |
513 |
500 |
$159.18 |
| 90686 |
|
126 |
125 |
$131.82 |
| 90474 |
|
13 |
13 |
$129.25 |
| 96161 |
|
15 |
13 |
$27.70 |
| 99174 |
|
535 |
525 |
$11.53 |
| 99001 |
|
2,166 |
1,812 |
$0.00 |
| 90461 |
|
72 |
72 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
17 |
$0.00 |
| 92558 |
|
16 |
16 |
$0.00 |
| 99002 |
|
57 |
53 |
$0.00 |