| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,821 |
26,279 |
$1.92M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,975 |
5,950 |
$612K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,429 |
5,948 |
$600K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,030 |
5,995 |
$582K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,399 |
4,173 |
$409K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,583 |
3,570 |
$401K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,429 |
14,625 |
$395K |
| 87428 |
|
2,270 |
2,205 |
$153K |
| 99000 |
|
6,893 |
6,496 |
$81K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,201 |
1,177 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,771 |
4,938 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,457 |
3,345 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,157 |
1,065 |
$35K |
| 90461 |
|
6,529 |
5,432 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,303 |
2,288 |
$28K |
| 69210 |
|
205 |
201 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
585 |
569 |
$6K |
| 99381 |
|
50 |
50 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
990 |
325 |
$5K |
| 80061 |
Lipid panel |
661 |
647 |
$4K |
| 99383 |
|
40 |
39 |
$4K |
| 0071A |
|
77 |
76 |
$4K |
| 0081A |
|
73 |
50 |
$2K |
| 90686 |
|
7,515 |
7,466 |
$1K |
| 90651 |
|
1,819 |
1,805 |
$895.45 |
| 81003 |
|
402 |
377 |
$862.69 |
| 0154A |
|
17 |
17 |
$816.00 |
| 90621 |
|
200 |
199 |
$772.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
81 |
$645.66 |
| 81002 |
|
193 |
184 |
$640.50 |
| 0124A |
|
13 |
13 |
$624.00 |
| 0072A |
|
12 |
12 |
$576.00 |
| 0074A |
|
12 |
12 |
$568.00 |
| 0054A |
|
15 |
15 |
$516.42 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
191 |
181 |
$485.80 |
| 94760 |
|
1,143 |
1,091 |
$462.24 |
| 99051 |
|
29 |
29 |
$370.44 |
| 92551 |
|
169 |
168 |
$323.58 |
| 96381 |
|
15 |
15 |
$260.74 |
| 90619 |
|
517 |
511 |
$173.42 |
| 90474 |
|
12 |
12 |
$112.92 |
| 90633 |
|
1,476 |
1,470 |
$43.48 |
| 90656 |
|
1,058 |
1,056 |
$20.96 |
| 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) |
488 |
457 |
$0.00 |
| 90670 |
|
2,581 |
2,509 |
$0.00 |
| 90710 |
|
820 |
814 |
$0.00 |
| 90734 |
|
228 |
228 |
$0.00 |
| 91308 |
|
192 |
174 |
$0.00 |
| 90715 |
|
265 |
265 |
$0.00 |
| 99173 |
|
125 |
124 |
$0.00 |
| 90672 |
|
18 |
16 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| 96127 |
|
58 |
56 |
$0.00 |
| 90677 |
|
1,087 |
1,079 |
$0.00 |
| 90698 |
|
1,271 |
1,267 |
$0.00 |
| 90697 |
|
919 |
898 |
$0.00 |
| 90680 |
|
1,502 |
1,468 |
$0.00 |
| 90696 |
|
102 |
102 |
$0.00 |
| 90744 |
|
376 |
376 |
$0.00 |
| 91307 |
|
291 |
277 |
$0.00 |
| 91315 |
|
22 |
22 |
$0.00 |
| 91305 |
|
101 |
99 |
$0.00 |
| 90660 |
|
31 |
31 |
$0.00 |
| 90688 |
|
49 |
49 |
$0.00 |
| 82962 |
|
18 |
16 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |