| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,742 |
12,639 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,192 |
12,076 |
$719K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,772 |
1,725 |
$131K |
| 99215 |
Prolong outpt/office vis |
978 |
902 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,300 |
1,204 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
871 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,806 |
1,528 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,875 |
2,696 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,894 |
2,758 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
246 |
$19K |
| 90686 |
|
1,878 |
1,757 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
715 |
673 |
$17K |
| 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) |
913 |
864 |
$6K |
| 90670 |
|
495 |
468 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
567 |
502 |
$4K |
| 90698 |
|
215 |
207 |
$2K |
| 99000 |
|
1,056 |
990 |
$2K |
| 90680 |
|
164 |
156 |
$2K |
| 90672 |
|
170 |
165 |
$2K |
| 96127 |
|
345 |
328 |
$2K |
| 99177 |
|
425 |
398 |
$2K |
| 90656 |
|
125 |
124 |
$2K |
| 90633 |
|
127 |
120 |
$1K |
| 99072 |
|
11,715 |
10,682 |
$973.01 |
| 0072A |
|
24 |
24 |
$932.00 |
| 90685 |
|
64 |
62 |
$676.55 |
| 90619 |
|
46 |
45 |
$655.60 |
| 99173 |
|
242 |
231 |
$547.97 |
| 0001A |
|
12 |
12 |
$481.20 |
| 81003 |
|
206 |
193 |
$448.34 |
| 92558 |
|
38 |
37 |
$412.97 |
| 96160 |
|
270 |
244 |
$408.63 |
| 99051 |
|
137 |
122 |
$406.98 |
| 90660 |
|
35 |
33 |
$387.44 |
| 90677 |
|
42 |
39 |
$386.00 |
| 36416 |
|
687 |
602 |
$322.89 |
| 90710 |
|
37 |
29 |
$308.65 |
| 90744 |
|
27 |
25 |
$282.00 |
| 90658 |
|
14 |
12 |
$136.44 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$86.39 |
| 96161 |
|
30 |
26 |
$84.58 |
| 99070 |
|
48 |
47 |
$40.00 |
| 94760 |
|
13 |
13 |
$13.95 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$8.26 |