| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,387 |
20,254 |
$1.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,209 |
15,377 |
$1.22M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,371 |
6,340 |
$445K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
891 |
$66K |
| 90461 |
|
1,118 |
1,117 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
809 |
809 |
$59K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,454 |
1,454 |
$43K |
| 90837 |
Psychotherapy, 53 minutes with patient |
324 |
119 |
$41K |
| 92551 |
|
4,570 |
4,566 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
409 |
409 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,224 |
1,224 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
394 |
386 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
332 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
425 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
161 |
160 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
120 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
207 |
206 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$4K |
| 90686 |
|
2,279 |
2,272 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
192 |
190 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
137 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
292 |
292 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 76642 |
|
84 |
84 |
$2K |
| 76830 |
Ultrasound, transvaginal |
82 |
82 |
$2K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
465 |
461 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
29 |
29 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
151 |
142 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$908.66 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$875.74 |
| 99442 |
|
42 |
41 |
$667.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
50 |
$617.33 |
| D1208 |
Topical application of fluoride, excluding varnish |
47 |
47 |
$546.00 |
| 81025 |
|
89 |
88 |
$472.19 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$435.04 |
| 99051 |
|
1,076 |
1,071 |
$370.37 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15 |
15 |
$278.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$183.95 |
| 99152 |
|
14 |
12 |
$126.87 |
| 96127 |
|
15 |
15 |
$59.97 |
| 90656 |
|
76 |
76 |
$44.70 |
| 81003 |
|
26 |
25 |
$41.08 |
| 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) |
32 |
29 |
$12.24 |
| 4004F |
|
881 |
801 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 1159F |
|
239 |
227 |
$0.00 |
| 3078F |
|
57 |
55 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
29 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 1036F |
|
445 |
426 |
$0.00 |
| 2000F |
|
89 |
86 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 1000F |
|
63 |
62 |
$0.00 |
| 3008F |
|
73 |
71 |
$0.00 |
| 3074F |
|
73 |
71 |
$0.00 |
| 0001F |
|
16 |
14 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |