| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,831 |
28,555 |
$5.53M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,460 |
10,132 |
$1.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,945 |
3,825 |
$693K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,725 |
3,714 |
$680K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,352 |
3,327 |
$612K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,036 |
2,035 |
$360K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,019 |
2,015 |
$358K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,255 |
970 |
$222K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
197 |
186 |
$211K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
926 |
879 |
$179K |
| 90837 |
Psychotherapy, 53 minutes with patient |
621 |
445 |
$106K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
717 |
699 |
$90K |
| 99223 |
Prolong inpt eval add15 m |
420 |
395 |
$73K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
1,839 |
1,786 |
$66K |
| 90832 |
Psychotherapy, 30 minutes with patient |
304 |
233 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
387 |
374 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
360 |
332 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
116 |
116 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
130 |
128 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,729 |
3,636 |
$9K |
| G9153 |
Mapcp demonstration - physician incentive pool |
206 |
206 |
$7K |
| 90677 |
|
280 |
272 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
299 |
286 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,019 |
1,975 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,649 |
3,622 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,384 |
5,333 |
$3K |
| 90686 |
|
2,933 |
2,908 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
13 |
$2K |
| 90670 |
|
1,207 |
1,204 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 90697 |
|
336 |
333 |
$2K |
| 90674 |
|
131 |
127 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$1K |
| 90661 |
|
90 |
90 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
576 |
576 |
$786.48 |
| 81025 |
|
170 |
167 |
$717.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
624 |
607 |
$717.31 |
| 83655 |
|
299 |
299 |
$508.87 |
| 85018 |
|
719 |
712 |
$336.44 |
| 90672 |
|
325 |
324 |
$248.38 |
| 92551 |
|
314 |
314 |
$236.15 |
| 90473 |
|
512 |
512 |
$192.70 |
| 99177 |
|
246 |
243 |
$186.94 |
| 96127 |
|
1,148 |
1,138 |
$135.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
167 |
$115.32 |
| 90649 |
|
398 |
398 |
$113.00 |
| 94760 |
|
7,165 |
6,379 |
$105.20 |
| 87807 |
|
39 |
38 |
$81.97 |
| 90687 |
|
56 |
54 |
$78.94 |
| 82948 |
|
541 |
497 |
$45.30 |
| 90756 |
|
15 |
15 |
$34.20 |
| 81002 |
|
53 |
29 |
$31.50 |
| 90688 |
|
76 |
76 |
$29.08 |
| 90647 |
|
355 |
355 |
$25.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$23.70 |
| 99173 |
|
3,431 |
3,413 |
$14.00 |
| 97802 |
|
16 |
16 |
$0.04 |
| 3079F |
|
56 |
53 |
$0.04 |
| 3074F |
|
230 |
220 |
$0.01 |
| 90734 |
|
132 |
132 |
$0.00 |
| 1159F |
|
574 |
552 |
$0.00 |
| 90633 |
|
433 |
431 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
230 |
211 |
$0.00 |
| 1160F |
|
571 |
548 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 90681 |
|
137 |
137 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 90723 |
|
432 |
430 |
$0.00 |
| 1126F |
|
164 |
158 |
$0.00 |
| 1125F |
|
81 |
76 |
$0.00 |
| 1170F |
|
19 |
19 |
$0.00 |