| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,768 |
54,238 |
$5.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,416 |
55,975 |
$4.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,817 |
8,160 |
$717K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,533 |
6,390 |
$568K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,466 |
6,168 |
$533K |
| 90686 |
|
18,191 |
16,140 |
$268K |
| 0240U |
|
2,110 |
2,072 |
$255K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,394 |
2,235 |
$215K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,266 |
4,131 |
$145K |
| 96160 |
|
47,645 |
44,853 |
$129K |
| 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) |
10,762 |
9,923 |
$127K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,710 |
8,569 |
$116K |
| 96127 |
|
20,731 |
16,941 |
$103K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,625 |
2,447 |
$96K |
| 90670 |
|
3,657 |
2,953 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,993 |
32,611 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,285 |
2,427 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,207 |
8,262 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,914 |
3,328 |
$33K |
| 90698 |
|
1,756 |
1,448 |
$29K |
| 90461 |
|
10,844 |
9,087 |
$28K |
| 90656 |
|
1,658 |
1,626 |
$28K |
| 90651 |
|
556 |
543 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
794 |
778 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
176 |
172 |
$22K |
| 99460 |
|
226 |
221 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
290 |
283 |
$20K |
| 90619 |
|
183 |
180 |
$18K |
| 90680 |
|
1,114 |
921 |
$18K |
| 99173 |
|
6,719 |
6,390 |
$16K |
| 90677 |
|
144 |
138 |
$15K |
| 99215 |
Prolong outpt/office vis |
119 |
111 |
$15K |
| 0002A |
|
415 |
396 |
$15K |
| 0001A |
|
444 |
429 |
$15K |
| 99000 |
|
12,567 |
10,663 |
$12K |
| 99177 |
|
2,639 |
2,491 |
$11K |
| 96161 |
|
3,017 |
2,558 |
$7K |
| 0071A |
|
179 |
179 |
$7K |
| 90633 |
|
497 |
459 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
55 |
53 |
$7K |
| 99051 |
|
1,490 |
1,229 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
832 |
802 |
$6K |
| 90697 |
|
154 |
152 |
$6K |
| 0072A |
|
127 |
127 |
$5K |
| 90685 |
|
454 |
429 |
$5K |
| 90744 |
|
379 |
350 |
$5K |
| 87807 |
|
351 |
329 |
$5K |
| 92551 |
|
432 |
426 |
$4K |
| 88738 |
|
1,025 |
952 |
$4K |
| 90688 |
|
331 |
320 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
83 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
715 |
653 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
57 |
$3K |
| 90734 |
|
117 |
106 |
$3K |
| 85018 |
|
1,187 |
1,126 |
$3K |
| 97803 |
|
168 |
137 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
219 |
197 |
$2K |
| 92567 |
|
151 |
148 |
$2K |
| 87428 |
|
80 |
73 |
$2K |
| 99050 |
|
137 |
116 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
101 |
$2K |
| 90648 |
|
77 |
67 |
$1K |
| 90480 |
|
45 |
45 |
$1K |
| 90715 |
|
53 |
52 |
$970.24 |
| 92587 |
|
90 |
85 |
$932.76 |
| 0081A |
|
25 |
22 |
$906.13 |
| 99188 |
|
51 |
46 |
$881.05 |
| 90621 |
|
12 |
12 |
$593.55 |
| 99072 |
|
4,824 |
4,207 |
$555.01 |
| 90723 |
|
28 |
25 |
$535.44 |
| 0082A |
|
22 |
12 |
$490.71 |
| 92558 |
|
1,646 |
1,564 |
$438.05 |
| 94760 |
|
372 |
308 |
$417.11 |
| 90674 |
|
16 |
16 |
$373.04 |
| 36416 |
|
4,282 |
3,813 |
$231.65 |
| G9920 |
Screening performed and negative |
28,206 |
26,954 |
$225.68 |
| 90700 |
|
12 |
12 |
$155.20 |
| 90710 |
|
13 |
13 |
$144.10 |
| 90696 |
|
12 |
12 |
$133.10 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
98 |
76 |
$108.18 |
| 83655 |
|
13 |
12 |
$93.81 |
| 87070 |
|
19 |
18 |
$67.68 |
| 87081 |
|
24 |
13 |
$50.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,520 |
5,498 |
$42.77 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$23.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
41 |
39 |
$2.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
444 |
444 |
$1.67 |
| H0049 |
Alcohol and/or drug screening |
764 |
762 |
$0.01 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,276 |
1,210 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
28 |
$0.00 |
| 3008F |
|
3,638 |
3,625 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
556 |
540 |
$0.00 |