| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,201 |
9,373 |
$441K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,830 |
8,808 |
$437K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,534 |
2,203 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,383 |
1,981 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,439 |
4,600 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,643 |
1,235 |
$58K |
| 99215 |
Prolong outpt/office vis |
1,682 |
1,164 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
605 |
554 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
972 |
678 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
628 |
437 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
889 |
669 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,260 |
782 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
260 |
209 |
$17K |
| 92551 |
|
1,473 |
1,303 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
212 |
164 |
$8K |
| 99460 |
|
178 |
132 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
841 |
610 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
911 |
786 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
72 |
57 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
187 |
83 |
$5K |
| 87420 |
|
795 |
429 |
$4K |
| 99381 |
|
52 |
41 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
56 |
25 |
$2K |
| 83655 |
|
325 |
234 |
$2K |
| 99173 |
|
1,517 |
1,251 |
$2K |
| 99462 |
|
127 |
83 |
$2K |
| 20610 |
|
69 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
50 |
$886.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
81 |
$701.96 |
| 96127 |
|
151 |
132 |
$477.19 |
| 90686 |
|
1,744 |
1,436 |
$436.56 |
| 95874 |
|
15 |
15 |
$386.07 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20 |
13 |
$346.39 |
| 96161 |
|
254 |
229 |
$342.58 |
| 90677 |
|
191 |
185 |
$284.33 |
| 90670 |
|
1,666 |
1,392 |
$236.68 |
| 99205 |
Prolong outpt/office vis |
31 |
28 |
$187.23 |
| 96160 |
|
267 |
200 |
$186.79 |
| 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) |
139 |
136 |
$181.31 |
| 80305 |
|
31 |
31 |
$160.60 |
| 85018 |
|
118 |
75 |
$117.15 |
| 90461 |
|
3,135 |
2,660 |
$55.38 |
| 99177 |
|
260 |
222 |
$39.30 |
| 81002 |
|
15 |
13 |
$33.85 |
| 90647 |
|
642 |
525 |
$0.94 |
| 90707 |
|
75 |
54 |
$0.03 |
| 90651 |
|
12 |
12 |
$0.02 |
| 90633 |
|
626 |
476 |
$0.00 |
| 1160F |
|
488 |
439 |
$0.00 |
| 1159F |
|
488 |
439 |
$0.00 |
| 4004F |
|
75 |
67 |
$0.00 |
| 3288F |
|
377 |
344 |
$0.00 |
| 3078F |
|
33 |
18 |
$0.00 |
| 3008F |
|
1,470 |
1,328 |
$0.00 |
| 90680 |
|
1,120 |
912 |
$0.00 |
| 90723 |
|
1,191 |
980 |
$0.00 |
| 90716 |
|
97 |
70 |
$0.00 |
| 3351F |
|
164 |
139 |
$0.00 |
| 1126F |
|
222 |
203 |
$0.00 |
| 1125F |
|
213 |
190 |
$0.00 |
| 1036F |
|
170 |
152 |
$0.00 |
| 90698 |
|
55 |
42 |
$0.00 |
| 3074F |
|
86 |
54 |
$0.00 |
| 1220F |
|
274 |
243 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |