| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,025 |
10,339 |
$932K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,584 |
10,774 |
$621K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
804 |
653 |
$65K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,547 |
1,153 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,186 |
1,047 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
494 |
380 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,421 |
2,020 |
$34K |
| 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 |
2,339 |
1,604 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,126 |
966 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
327 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
260 |
203 |
$22K |
| 99348 |
|
248 |
192 |
$16K |
| 99336 |
|
409 |
314 |
$16K |
| 99173 |
|
2,122 |
1,727 |
$16K |
| 93000 |
|
706 |
637 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,120 |
894 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,562 |
1,368 |
$9K |
| 81002 |
|
3,295 |
2,636 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
138 |
62 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
35 |
$6K |
| 82962 |
|
3,177 |
2,362 |
$6K |
| 99383 |
|
43 |
33 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
237 |
162 |
$4K |
| 99349 |
|
29 |
27 |
$4K |
| 99401 |
|
328 |
199 |
$3K |
| 99384 |
|
26 |
17 |
$3K |
| 99072 |
|
1,063 |
838 |
$2K |
| 87807 |
|
223 |
205 |
$2K |
| 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) |
296 |
220 |
$2K |
| 81025 |
|
464 |
391 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
66 |
$902.52 |
| 99310 |
Prolong nursin fac eval 15m |
15 |
13 |
$856.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$852.22 |
| 96127 |
|
32 |
30 |
$426.57 |
| 90686 |
|
22 |
18 |
$390.30 |
| 36415 |
Collection of venous blood by venipuncture |
1,029 |
862 |
$384.30 |
| 90658 |
|
20 |
12 |
$374.78 |
| 80305 |
|
39 |
38 |
$350.22 |
| 90688 |
|
20 |
12 |
$313.89 |
| 99442 |
|
33 |
29 |
$14.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$0.00 |