| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,335 |
13,382 |
$701K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,972 |
8,782 |
$638K |
| 80305 |
|
14,102 |
11,317 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,405 |
3,144 |
$88K |
| 99051 |
|
3,376 |
3,026 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
620 |
582 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
510 |
489 |
$30K |
| 0001A |
|
243 |
241 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
389 |
370 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
240 |
226 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
218 |
$11K |
| 0002A |
|
200 |
198 |
$10K |
| 90686 |
|
1,513 |
1,436 |
$9K |
| 0071A |
|
84 |
83 |
$8K |
| 90651 |
|
218 |
206 |
$8K |
| 0004A |
|
88 |
87 |
$7K |
| 0003A |
|
65 |
65 |
$6K |
| 0072A |
|
66 |
65 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
224 |
$4K |
| 90734 |
|
209 |
199 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
164 |
161 |
$2K |
| 90633 |
|
46 |
45 |
$2K |
| 92567 |
|
135 |
114 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
98 |
$1K |
| 90672 |
|
95 |
91 |
$1K |
| 90688 |
|
186 |
177 |
$1K |
| 92587 |
|
52 |
47 |
$802.08 |
| 90473 |
|
39 |
37 |
$688.94 |
| 92552 |
|
52 |
52 |
$653.03 |
| 99050 |
|
29 |
29 |
$466.25 |
| 90715 |
|
61 |
60 |
$172.52 |
| 90716 |
|
71 |
66 |
$161.65 |
| 90685 |
|
186 |
168 |
$160.25 |
| 83655 |
|
13 |
13 |
$140.68 |
| 90670 |
|
271 |
249 |
$131.50 |
| 90707 |
|
72 |
67 |
$95.87 |
| 90698 |
|
99 |
94 |
$71.50 |
| 96127 |
|
13 |
13 |
$50.04 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
114 |
110 |
$22.40 |
| 90648 |
|
18 |
15 |
$15.75 |
| 90680 |
|
31 |
24 |
$10.00 |
| 90620 |
|
40 |
39 |
$10.00 |
| 90713 |
|
32 |
31 |
$10.00 |
| 90700 |
|
42 |
40 |
$10.00 |
| 91300 |
|
650 |
623 |
$6.23 |
| 91307 |
|
163 |
155 |
$1.60 |
| 90696 |
|
15 |
13 |
$0.00 |
| G0477 |
Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service |
83 |
79 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,115 |
1,048 |
$0.00 |