| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
67,309 |
61,557 |
$5.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,085 |
54,247 |
$2.27M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
25,609 |
24,116 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,076 |
18,313 |
$1.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,497 |
10,140 |
$957K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,756 |
10,371 |
$916K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59,037 |
28,999 |
$905K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,932 |
9,111 |
$794K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,811 |
7,549 |
$770K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,075 |
20,042 |
$558K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,411 |
7,867 |
$382K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,131 |
19,745 |
$307K |
| 99381 |
|
1,422 |
1,250 |
$96K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,477 |
14,937 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,427 |
7,176 |
$87K |
| 99205 |
Prolong outpt/office vis |
461 |
456 |
$53K |
| 90461 |
|
7,771 |
6,545 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,908 |
2,660 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
456 |
443 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
628 |
621 |
$39K |
| 87807 |
|
3,587 |
3,190 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,807 |
2,266 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,008 |
977 |
$28K |
| 0072A |
|
680 |
675 |
$26K |
| 0071A |
|
642 |
627 |
$23K |
| 0001A |
|
578 |
572 |
$21K |
| 92587 |
|
5,812 |
5,633 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
168 |
$16K |
| 97169 |
|
564 |
543 |
$15K |
| 0002A |
|
376 |
376 |
$15K |
| 99383 |
|
147 |
143 |
$15K |
| 96160 |
|
9,196 |
8,896 |
$13K |
| 99384 |
|
93 |
91 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,015 |
972 |
$9K |
| 86580 |
|
770 |
734 |
$6K |
| 99000 |
|
720 |
648 |
$6K |
| 99382 |
|
55 |
55 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
445 |
399 |
$5K |
| 0054A |
|
152 |
144 |
$5K |
| 90473 |
|
345 |
340 |
$4K |
| 0052A |
|
95 |
93 |
$3K |
| 81002 |
|
1,006 |
955 |
$3K |
| 92015 |
Determination of refractive state |
6,828 |
6,619 |
$3K |
| 0081A |
|
62 |
59 |
$2K |
| 0074A |
|
54 |
50 |
$2K |
| 0082A |
|
42 |
39 |
$2K |
| 99050 |
|
72 |
65 |
$1K |
| 81003 |
|
438 |
385 |
$794.74 |
| 90674 |
|
1,849 |
1,741 |
$602.50 |
| 0073A |
|
15 |
15 |
$544.68 |
| 0051A |
|
20 |
19 |
$517.16 |
| 0083A |
|
12 |
12 |
$480.00 |
| 0003A |
|
12 |
12 |
$480.00 |
| 69209 |
|
28 |
26 |
$335.53 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
45 |
$226.57 |
| 90619 |
|
2,085 |
2,013 |
$150.39 |
| 94760 |
|
219 |
210 |
$115.94 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13,709 |
13,386 |
$33.35 |
| A7015 |
Aerosol mask, used with dme nebulizer |
442 |
396 |
$8.00 |
| 90697 |
|
3,011 |
2,956 |
$3.83 |
| 90671 |
|
3,316 |
3,111 |
$3.72 |
| 91307 |
|
1,493 |
1,397 |
$1.99 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
845 |
782 |
$0.78 |
| 91305 |
|
378 |
356 |
$0.62 |
| 90620 |
|
1,648 |
1,567 |
$0.62 |
| 90651 |
|
3,700 |
3,597 |
$0.49 |
| 90686 |
|
5,321 |
5,143 |
$0.47 |
| 91308 |
|
150 |
133 |
$0.13 |
| 90734 |
|
1,061 |
1,017 |
$0.13 |
| 91300 |
|
1,021 |
920 |
$0.09 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
10,424 |
9,422 |
$0.08 |
| 90672 |
|
103 |
103 |
$0.01 |
| 90715 |
|
1,711 |
1,651 |
$0.01 |
| 90696 |
|
1,443 |
1,392 |
$0.00 |
| 90698 |
|
939 |
914 |
$0.00 |
| 90723 |
|
1,278 |
1,171 |
$0.00 |
| 90680 |
|
3,907 |
3,787 |
$0.00 |
| 90716 |
|
1,366 |
1,308 |
$0.00 |
| 90657 |
|
702 |
701 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
376 |
346 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
82 |
79 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
15 |
$0.00 |
| 90633 |
|
3,666 |
3,545 |
$0.00 |
| 90707 |
|
1,370 |
1,314 |
$0.00 |
| 90670 |
|
4,213 |
4,156 |
$0.00 |
| 90700 |
|
417 |
400 |
$0.00 |
| 90710 |
|
1,482 |
1,431 |
$0.00 |
| 90648 |
|
2,051 |
1,920 |
$0.00 |
| 1033F |
|
729 |
718 |
$0.00 |
| 90681 |
|
124 |
105 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |