| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,644 |
12,036 |
$859K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,444 |
4,990 |
$457K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,001 |
3,978 |
$308K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,204 |
3,139 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,623 |
2,593 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,094 |
8,748 |
$191K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,321 |
1,314 |
$113K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,441 |
1,390 |
$56K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
723 |
703 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,245 |
3,215 |
$34K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,953 |
1,862 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,459 |
4,302 |
$25K |
| 99381 |
|
205 |
205 |
$19K |
| 90677 |
|
512 |
509 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,483 |
1,362 |
$15K |
| 87634 |
|
450 |
432 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
167 |
79 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,134 |
1,124 |
$14K |
| 90480 |
|
299 |
298 |
$12K |
| 99188 |
|
1,721 |
1,716 |
$12K |
| 99051 |
|
3,862 |
3,529 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
724 |
559 |
$11K |
| 0001A |
|
235 |
234 |
$8K |
| 0002A |
|
218 |
218 |
$8K |
| 83655 |
|
809 |
797 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
204 |
199 |
$7K |
| 96127 |
|
2,345 |
2,302 |
$7K |
| 0072A |
|
171 |
169 |
$6K |
| 87081 |
|
1,190 |
1,114 |
$5K |
| 99177 |
|
2,490 |
2,475 |
$5K |
| 91320 |
|
76 |
76 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
107 |
$4K |
| 0071A |
|
107 |
107 |
$4K |
| 90686 |
|
2,432 |
2,423 |
$4K |
| 99000 |
|
972 |
856 |
$4K |
| 36416 |
|
4,178 |
3,941 |
$3K |
| 96161 |
|
1,880 |
1,855 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
17 |
$3K |
| 99383 |
|
26 |
26 |
$3K |
| 92551 |
|
300 |
297 |
$2K |
| 0054A |
|
50 |
50 |
$2K |
| 0081A |
|
46 |
46 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| 92558 |
|
1,149 |
1,144 |
$1K |
| 81003 |
|
734 |
675 |
$1K |
| 0124A |
|
33 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96380 |
|
64 |
64 |
$1K |
| 96160 |
|
570 |
565 |
$972.92 |
| 0074A |
|
27 |
26 |
$918.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
54 |
$915.83 |
| 36415 |
Collection of venous blood by venipuncture |
202 |
198 |
$911.55 |
| 90656 |
|
352 |
352 |
$876.88 |
| 0082A |
|
14 |
14 |
$538.94 |
| 0154A |
|
16 |
16 |
$536.24 |
| 87807 |
|
75 |
66 |
$513.76 |
| 80061 |
Lipid panel |
78 |
72 |
$419.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
44 |
$268.13 |
| 90473 |
|
141 |
141 |
$228.00 |
| 92015 |
Determination of refractive state |
17 |
14 |
$144.72 |
| 92588 |
|
14 |
14 |
$134.09 |
| 94760 |
|
2,710 |
2,312 |
$108.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
46 |
44 |
$28.13 |
| 90685 |
|
198 |
195 |
$21.81 |
| 99072 |
|
704 |
599 |
$11.00 |
| 90744 |
|
1,203 |
1,185 |
$5.96 |
| 99173 |
|
1,840 |
1,824 |
$4.00 |
| 90716 |
|
330 |
329 |
$0.01 |
| 90680 |
|
1,447 |
1,440 |
$0.00 |
| 90698 |
|
1,698 |
1,685 |
$0.00 |
| 90651 |
|
326 |
324 |
$0.00 |
| 3351F |
|
269 |
268 |
$0.00 |
| 2000F |
|
1,227 |
1,188 |
$0.00 |
| 90619 |
|
200 |
200 |
$0.00 |
| 99429 |
|
150 |
150 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
203 |
194 |
$0.00 |
| 90696 |
|
102 |
102 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 91318 |
|
17 |
17 |
$0.00 |
| 91319 |
|
32 |
32 |
$0.00 |
| 91307 |
|
316 |
279 |
$0.00 |
| 91305 |
|
44 |
43 |
$0.00 |
| 90381 |
|
27 |
27 |
$0.00 |
| 90707 |
|
388 |
387 |
$0.00 |
| 90633 |
|
1,211 |
1,206 |
$0.00 |
| 90461 |
|
4,201 |
4,029 |
$0.00 |
| 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) |
1,119 |
971 |
$0.00 |
| 90700 |
|
158 |
158 |
$0.00 |
| 90670 |
|
1,751 |
1,740 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 91300 |
|
427 |
410 |
$0.00 |
| 1159F |
|
2,698 |
2,611 |
$0.00 |
| 90648 |
|
71 |
71 |
$0.00 |
| 91308 |
|
119 |
115 |
$0.00 |
| 90734 |
|
83 |
80 |
$0.00 |
| 90710 |
|
146 |
146 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |
| 90621 |
|
30 |
26 |
$0.00 |
| 91312 |
|
33 |
33 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
25 |
25 |
$0.00 |