| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,484 |
8,295 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,726 |
6,099 |
$555K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,238 |
3,018 |
$429K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,574 |
3,410 |
$375K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,429 |
3,314 |
$358K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,249 |
2,788 |
$308K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,472 |
2,369 |
$282K |
| 99215 |
Prolong outpt/office vis |
921 |
816 |
$152K |
| 90686 |
|
4,251 |
4,086 |
$95K |
| 92551 |
|
5,992 |
5,736 |
$55K |
| 90698 |
|
2,170 |
2,017 |
$47K |
| 90670 |
|
1,818 |
1,708 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
786 |
707 |
$35K |
| 90651 |
|
1,331 |
1,266 |
$32K |
| 90680 |
|
1,383 |
1,278 |
$29K |
| 90633 |
|
1,333 |
1,257 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,128 |
2,686 |
$28K |
| 90744 |
|
1,244 |
1,173 |
$27K |
| 90710 |
|
1,120 |
1,068 |
$26K |
| 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) |
1,651 |
1,357 |
$25K |
| 96127 |
|
4,810 |
4,393 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,729 |
1,494 |
$18K |
| 90734 |
|
761 |
726 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
123 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
332 |
312 |
$13K |
| 99173 |
|
5,129 |
4,925 |
$13K |
| 90715 |
|
515 |
490 |
$11K |
| 90677 |
|
454 |
427 |
$10K |
| 99381 |
|
86 |
79 |
$9K |
| 0071A |
|
221 |
217 |
$9K |
| 0072A |
|
196 |
194 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
373 |
359 |
$7K |
| 90696 |
|
225 |
217 |
$5K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
466 |
460 |
$5K |
| 90619 |
|
173 |
163 |
$4K |
| 90621 |
|
169 |
161 |
$4K |
| 90688 |
|
185 |
181 |
$4K |
| 90661 |
|
169 |
164 |
$4K |
| 99384 |
|
26 |
26 |
$4K |
| 90656 |
|
172 |
170 |
$4K |
| 99383 |
|
27 |
26 |
$3K |
| D1206 |
Topical application of fluoride varnish |
106 |
104 |
$3K |
| 87807 |
|
199 |
188 |
$2K |
| 85018 |
|
961 |
913 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,031 |
945 |
$2K |
| 96160 |
|
619 |
565 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
87 |
72 |
$1K |
| 99051 |
|
103 |
93 |
$971.30 |
| 90461 |
|
239 |
210 |
$683.04 |
| 81000 |
|
191 |
171 |
$444.39 |
| W7000 |
|
64 |
54 |
$313.54 |
| 81003 |
|
139 |
127 |
$257.60 |
| 36416 |
|
175 |
135 |
$220.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
78 |
$186.24 |
| 94760 |
|
79 |
70 |
$153.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$132.09 |
| 99070 |
|
59 |
48 |
$105.90 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$97.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
14 |
$92.12 |
| 83655 |
|
20 |
15 |
$33.47 |
| 99072 |
|
232 |
177 |
$7.50 |
| 91307 |
|
162 |
147 |
$0.21 |
| 99442 |
|
44 |
28 |
$0.00 |
| 99000 |
|
172 |
141 |
$0.00 |