| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,833 |
69,399 |
$7.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,720 |
52,703 |
$4.12M |
| 99199 |
Unlisted special service, procedure or report |
536,722 |
260,683 |
$2.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,283 |
12,582 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,353 |
11,513 |
$1.26M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,182 |
9,044 |
$979K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15,292 |
13,223 |
$966K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28,246 |
24,765 |
$805K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
6,022 |
5,379 |
$786K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15,665 |
12,822 |
$755K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37,772 |
33,009 |
$738K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19,280 |
16,888 |
$584K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,287 |
4,553 |
$554K |
| 99051 |
|
9,539 |
8,375 |
$241K |
| 96127 |
|
47,515 |
41,075 |
$195K |
| 87634 |
|
4,079 |
3,243 |
$116K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,065 |
2,729 |
$116K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,465 |
9,231 |
$94K |
| 92552 |
|
16,772 |
14,763 |
$85K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,406 |
2,167 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,275 |
2,087 |
$59K |
| 99215 |
Prolong outpt/office vis |
497 |
469 |
$58K |
| D1206 |
Topical application of fluoride varnish |
2,441 |
2,201 |
$35K |
| 90474 |
|
1,570 |
1,387 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,005 |
2,886 |
$28K |
| 90671 |
|
362 |
322 |
$21K |
| 99173 |
|
19,155 |
16,907 |
$12K |
| 83655 |
|
823 |
702 |
$11K |
| 90686 |
|
10,671 |
9,280 |
$11K |
| 96161 |
|
2,565 |
2,137 |
$9K |
| 90651 |
|
339 |
302 |
$9K |
| 99401 |
|
230 |
172 |
$8K |
| 90734 |
|
324 |
266 |
$7K |
| 87807 |
|
410 |
400 |
$6K |
| 0072A |
|
48 |
46 |
$3K |
| 81003 |
|
1,110 |
966 |
$2K |
| 92587 |
|
97 |
94 |
$2K |
| 0071A |
|
46 |
39 |
$2K |
| 80061 |
Lipid panel |
130 |
110 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
29 |
28 |
$2K |
| 86308 |
|
259 |
225 |
$2K |
| 97802 |
|
27 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
47 |
$1K |
| 82947 |
|
230 |
217 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
27 |
$979.16 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
32 |
27 |
$848.14 |
| 69210 |
|
31 |
29 |
$833.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
44 |
$735.30 |
| 90619 |
|
99 |
83 |
$480.09 |
| 99441 |
|
19 |
19 |
$475.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
28 |
$315.58 |
| 90633 |
|
960 |
811 |
$277.28 |
| 90715 |
|
15 |
12 |
$144.54 |
| 99177 |
|
240 |
220 |
$123.02 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
36 |
$111.37 |
| 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) |
56 |
53 |
$77.98 |
| 90656 |
|
227 |
218 |
$53.80 |
| 90696 |
|
31 |
31 |
$51.63 |
| 90744 |
|
829 |
707 |
$24.86 |
| 90670 |
|
4,539 |
3,927 |
$2.08 |
| 90698 |
|
3,171 |
2,752 |
$0.99 |
| 90677 |
|
600 |
566 |
$0.19 |
| 90680 |
|
1,854 |
1,612 |
$0.10 |
| 90685 |
|
555 |
546 |
$0.00 |
| 90710 |
|
44 |
43 |
$0.00 |
| 90700 |
|
17 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,418 |
2,818 |
$0.00 |
| 91307 |
|
267 |
222 |
$0.00 |
| 90688 |
|
87 |
84 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$0.00 |