| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,490 |
13,874 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,945 |
13,316 |
$854K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,575 |
2,703 |
$540K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,318 |
3,638 |
$298K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,921 |
3,813 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,473 |
2,416 |
$184K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,798 |
6,252 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,502 |
3,278 |
$123K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,875 |
3,705 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
949 |
928 |
$107K |
| V5008 |
Hearing screening |
5,068 |
4,963 |
$101K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,087 |
7,655 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,195 |
1,170 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,069 |
1,029 |
$79K |
| 90677 |
|
733 |
700 |
$76K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,379 |
8,837 |
$68K |
| 90670 |
|
2,456 |
2,344 |
$58K |
| 90710 |
|
1,518 |
1,479 |
$55K |
| 99215 |
Prolong outpt/office vis |
501 |
453 |
$55K |
| 90723 |
|
2,403 |
2,284 |
$44K |
| 99383 |
|
470 |
463 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,571 |
4,488 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,204 |
8,752 |
$38K |
| 90648 |
|
3,066 |
2,931 |
$33K |
| 99381 |
|
414 |
350 |
$31K |
| 90633 |
|
1,905 |
1,869 |
$26K |
| 90651 |
|
525 |
521 |
$24K |
| 90681 |
|
1,027 |
971 |
$23K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
113 |
111 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
56 |
12 |
$21K |
| 90734 |
|
648 |
641 |
$21K |
| 99384 |
|
188 |
188 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
188 |
184 |
$18K |
| 99382 |
|
214 |
211 |
$18K |
| 99000 |
|
6,741 |
6,386 |
$15K |
| 90461 |
|
5,979 |
5,718 |
$15K |
| 90688 |
|
1,198 |
1,144 |
$14K |
| Q3014 |
Telehealth originating site facility fee |
532 |
504 |
$13K |
| 99173 |
|
5,373 |
5,248 |
$13K |
| 90696 |
|
611 |
600 |
$11K |
| 96127 |
|
2,105 |
2,073 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
541 |
502 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
6,511 |
6,056 |
$9K |
| 87807 |
|
667 |
625 |
$8K |
| 99051 |
|
10,821 |
9,629 |
$6K |
| 90715 |
|
356 |
350 |
$5K |
| 90700 |
|
381 |
369 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
354 |
329 |
$4K |
| 99058 |
|
92 |
81 |
$3K |
| 90716 |
|
39 |
38 |
$2K |
| 90707 |
|
65 |
64 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$2K |
| 74018 |
|
69 |
66 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
115 |
110 |
$1K |
| 90658 |
|
77 |
76 |
$977.05 |
| 86308 |
|
140 |
138 |
$665.79 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$656.96 |
| 90687 |
|
63 |
60 |
$615.48 |
| 99072 |
|
159 |
147 |
$562.30 |
| 90656 |
|
41 |
41 |
$560.55 |
| 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) |
121 |
108 |
$512.68 |
| 99050 |
|
50 |
47 |
$495.91 |
| 90686 |
|
42 |
41 |
$490.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
356 |
331 |
$434.38 |
| 81003 |
|
184 |
174 |
$226.46 |
| 36416 |
|
2,321 |
2,191 |
$171.61 |
| 93000 |
|
12 |
12 |
$168.58 |
| 95117 |
|
19 |
14 |
$161.46 |
| 90744 |
|
12 |
12 |
$132.44 |
| 81002 |
|
74 |
66 |
$109.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
273 |
251 |
$10.65 |
| 94760 |
|
68 |
58 |
$10.20 |