| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,597 |
13,597 |
$519K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,787 |
1,763 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,227 |
1,212 |
$101K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,707 |
1,658 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
638 |
615 |
$48K |
| 99000 |
|
4,836 |
4,660 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,661 |
1,604 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,598 |
2,094 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,152 |
2,082 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
377 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
252 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
457 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
485 |
387 |
$5K |
| 97169 |
|
83 |
83 |
$2K |
| S8301 |
Infection control supplies, not otherwise specified |
107 |
105 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
128 |
$1K |
| 90461 |
|
325 |
228 |
$992.51 |
| 87807 |
|
101 |
97 |
$974.05 |
| 90686 |
|
948 |
939 |
$923.74 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$823.24 |
| 81002 |
|
272 |
258 |
$718.36 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
33 |
$434.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
26 |
$228.88 |
| 90734 |
|
220 |
220 |
$90.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$68.39 |
| 87999 |
|
85 |
82 |
$64.72 |
| 90651 |
|
79 |
79 |
$45.00 |
| 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) |
334 |
282 |
$14.24 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
615 |
605 |
$0.01 |
| 80061 |
Lipid panel |
2,276 |
2,189 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90649 |
|
62 |
61 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,007 |
2,984 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,368 |
1,295 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |