| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,661 |
7,427 |
$604K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,303 |
4,533 |
$515K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,451 |
1,435 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,170 |
1,164 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,278 |
1,220 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
619 |
618 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,919 |
1,781 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,899 |
2,813 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,281 |
2,082 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,345 |
3,276 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,280 |
2,236 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
661 |
635 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,049 |
550 |
$13K |
| 36416 |
|
2,630 |
2,568 |
$10K |
| 81000 |
|
2,743 |
2,677 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
157 |
$7K |
| 87081 |
|
1,128 |
1,025 |
$6K |
| 96127 |
|
1,460 |
1,425 |
$4K |
| 83655 |
|
350 |
344 |
$4K |
| 90671 |
|
57 |
57 |
$3K |
| 87807 |
|
206 |
196 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
88 |
$877.81 |
| 99441 |
|
17 |
17 |
$627.04 |
| 90661 |
|
95 |
94 |
$371.61 |
| 96161 |
|
117 |
111 |
$214.82 |
| 90474 |
|
12 |
12 |
$137.19 |
| 90670 |
|
340 |
328 |
$91.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
34 |
$70.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
28 |
27 |
$41.44 |
| 90686 |
|
472 |
467 |
$32.00 |
| 90685 |
|
21 |
12 |
$21.81 |
| 98966 |
|
243 |
220 |
$0.03 |
| 90633 |
|
37 |
37 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90707 |
|
80 |
79 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 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) |
66 |
60 |
$0.00 |
| 90744 |
|
52 |
50 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90651 |
|
42 |
42 |
$0.00 |
| 90680 |
|
96 |
95 |
$0.00 |
| 90716 |
|
92 |
89 |
$0.00 |
| 90698 |
|
146 |
144 |
$0.00 |
| 90697 |
|
39 |
39 |
$0.00 |
| 99058 |
|
12 |
12 |
$0.00 |
| 90619 |
|
18 |
18 |
$0.00 |