| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,754 |
13,983 |
$1.30M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,444 |
3,345 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,097 |
3,015 |
$372K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,113 |
3,010 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,595 |
2,353 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,519 |
4,173 |
$258K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,388 |
1,318 |
$169K |
| 92552 |
|
2,998 |
2,903 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,114 |
1,999 |
$78K |
| 99215 |
Prolong outpt/office vis |
565 |
528 |
$62K |
| Q3014 |
Telehealth originating site facility fee |
3,064 |
2,790 |
$58K |
| 99383 |
|
437 |
432 |
$52K |
| 99188 |
|
2,369 |
2,291 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,306 |
6,171 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,641 |
5,027 |
$48K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,975 |
1,923 |
$46K |
| 99384 |
|
324 |
318 |
$39K |
| 99499 |
|
959 |
905 |
$27K |
| 92551 |
|
2,425 |
2,253 |
$22K |
| 99382 |
|
190 |
179 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
172 |
$21K |
| 90686 |
|
4,016 |
3,836 |
$18K |
| 96127 |
|
4,242 |
4,027 |
$18K |
| 0001A |
|
391 |
371 |
$14K |
| S9470 |
Nutritional counseling, dietitian visit |
2,772 |
2,631 |
$13K |
| 99050 |
|
396 |
371 |
$12K |
| 0071A |
|
328 |
301 |
$12K |
| 99381 |
|
116 |
112 |
$11K |
| 0002A |
|
255 |
249 |
$10K |
| 90461 |
|
2,576 |
2,161 |
$10K |
| 90651 |
|
1,291 |
1,272 |
$8K |
| 0072A |
|
203 |
191 |
$8K |
| 90698 |
|
1,681 |
1,622 |
$7K |
| 99173 |
|
4,651 |
4,366 |
$7K |
| 96160 |
|
2,973 |
2,842 |
$7K |
| 90670 |
|
1,522 |
1,467 |
$6K |
| 99177 |
|
751 |
726 |
$6K |
| 90619 |
|
657 |
655 |
$6K |
| 90710 |
|
457 |
436 |
$5K |
| 90620 |
|
1,220 |
997 |
$5K |
| 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) |
346 |
301 |
$4K |
| 96161 |
|
1,712 |
1,323 |
$4K |
| 90680 |
|
960 |
918 |
$3K |
| 90633 |
|
834 |
812 |
$3K |
| 99461 |
|
85 |
71 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
244 |
$3K |
| 90734 |
|
637 |
620 |
$3K |
| 90715 |
|
494 |
486 |
$2K |
| 90656 |
|
300 |
296 |
$2K |
| 90744 |
|
693 |
663 |
$2K |
| 0004A |
|
58 |
48 |
$2K |
| 99080 |
|
65 |
65 |
$2K |
| 90677 |
|
262 |
248 |
$2K |
| 90696 |
|
207 |
205 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,608 |
2,391 |
$1K |
| 0154A |
|
31 |
25 |
$780.00 |
| 0124A |
|
19 |
17 |
$690.00 |
| 90707 |
|
127 |
127 |
$688.68 |
| 99051 |
|
1,389 |
1,240 |
$623.00 |
| 90716 |
|
116 |
116 |
$581.96 |
| 0074A |
|
19 |
17 |
$578.00 |
| 99174 |
|
136 |
134 |
$574.65 |
| 90480 |
|
41 |
40 |
$540.00 |
| 99072 |
|
13,448 |
11,165 |
$528.21 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$480.00 |
| 95117 |
|
51 |
26 |
$479.91 |
| 81025 |
|
261 |
243 |
$456.40 |
| 87070 |
|
692 |
626 |
$414.40 |
| 0012A |
|
14 |
14 |
$367.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
29 |
$281.46 |
| G9919 |
Screening performed and positive and provision of recommendations |
6,587 |
6,132 |
$197.10 |
| 90697 |
|
76 |
62 |
$141.80 |
| 96381 |
|
12 |
12 |
$120.00 |
| 81000 |
|
392 |
351 |
$118.62 |
| 90381 |
|
21 |
14 |
$40.00 |
| 80061 |
Lipid panel |
1,476 |
1,369 |
$40.00 |
| 83655 |
|
369 |
343 |
$20.00 |
| 81002 |
|
19 |
12 |
$3.75 |
| 85018 |
|
94 |
91 |
$0.00 |
| 91307 |
|
177 |
153 |
$0.00 |
| 85013 |
|
106 |
103 |
$0.00 |
| 91300 |
|
452 |
374 |
$0.00 |