| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,536 |
20,761 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,107 |
14,200 |
$1.22M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,489 |
7,820 |
$897K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,296 |
6,786 |
$780K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,483 |
4,296 |
$395K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,419 |
17,682 |
$279K |
| 99460 |
|
2,336 |
2,088 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,978 |
1,935 |
$196K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,999 |
4,495 |
$90K |
| 99463 |
|
989 |
903 |
$80K |
| 90461 |
|
10,745 |
8,866 |
$74K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,345 |
2,106 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,049 |
5,320 |
$36K |
| 90677 |
|
757 |
714 |
$35K |
| 99188 |
|
2,342 |
2,133 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,305 |
3,398 |
$27K |
| 87428 |
|
687 |
561 |
$26K |
| 85018 |
|
16,696 |
15,379 |
$14K |
| 81003 |
|
13,455 |
12,443 |
$14K |
| 83655 |
|
3,316 |
2,919 |
$13K |
| 87807 |
|
1,391 |
1,197 |
$8K |
| 90686 |
|
3,243 |
3,167 |
$5K |
| 90670 |
|
3,925 |
3,541 |
$5K |
| 0072A |
|
93 |
90 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,205 |
779 |
$3K |
| 0071A |
|
96 |
95 |
$3K |
| 96127 |
|
2,637 |
1,097 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
103 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
36 |
$2K |
| 0002A |
|
70 |
68 |
$2K |
| 91300 |
|
100 |
93 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90716 |
|
872 |
747 |
$1K |
| 90648 |
|
3,951 |
3,564 |
$899.90 |
| 90698 |
|
64 |
59 |
$842.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
89 |
$768.32 |
| 99462 |
|
47 |
36 |
$555.74 |
| 36415 |
Collection of venous blood by venipuncture |
560 |
551 |
$513.00 |
| 90707 |
|
751 |
640 |
$479.94 |
| 90700 |
|
6,109 |
5,600 |
$421.20 |
| 0001A |
|
54 |
53 |
$350.00 |
| 90651 |
|
574 |
541 |
$346.14 |
| 90619 |
|
138 |
119 |
$325.96 |
| 94760 |
|
249 |
208 |
$229.85 |
| 90474 |
|
15 |
13 |
$156.00 |
| 90713 |
|
4,612 |
4,197 |
$149.18 |
| 99051 |
|
19 |
16 |
$138.76 |
| 99177 |
|
327 |
316 |
$89.50 |
| 99174 |
|
3,542 |
2,881 |
$69.93 |
| 81000 |
|
115 |
112 |
$67.90 |
| 90715 |
|
124 |
103 |
$60.00 |
| Q3014 |
Telehealth originating site facility fee |
427 |
345 |
$49.50 |
| 36416 |
|
5,041 |
4,286 |
$38.63 |
| 90744 |
|
1,011 |
915 |
$24.01 |
| 99000 |
|
3,521 |
3,260 |
$20.28 |
| 90633 |
|
1,289 |
1,108 |
$10.00 |
| 96160 |
|
26 |
20 |
$8.50 |
| 90621 |
|
224 |
211 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 90734 |
|
150 |
139 |
$0.00 |
| 90710 |
|
31 |
29 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90680 |
|
1,981 |
1,741 |
$0.00 |
| 91307 |
|
172 |
159 |
$0.00 |
| 90697 |
|
77 |
75 |
$0.00 |