| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,341 |
49,888 |
$5.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,571 |
26,984 |
$3.75M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,046 |
23,254 |
$1.41M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,163 |
6,973 |
$999K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,608 |
6,441 |
$862K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,677 |
5,117 |
$726K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,504 |
4,360 |
$608K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,064 |
15,551 |
$388K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,459 |
7,984 |
$249K |
| 97803 |
|
20,847 |
19,853 |
$199K |
| 90461 |
|
8,634 |
8,059 |
$92K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,674 |
8,118 |
$92K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
781 |
708 |
$92K |
| 99381 |
|
865 |
707 |
$76K |
| 99383 |
|
519 |
496 |
$70K |
| 99384 |
|
322 |
315 |
$50K |
| 99051 |
|
10,472 |
9,504 |
$45K |
| 99382 |
|
323 |
314 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,358 |
7,027 |
$41K |
| 96160 |
|
9,623 |
8,313 |
$35K |
| 97802 |
|
3,842 |
3,500 |
$35K |
| 99401 |
|
3,340 |
2,912 |
$34K |
| 90698 |
|
838 |
783 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
144 |
$26K |
| 92558 |
|
5,939 |
5,673 |
$22K |
| 90671 |
|
490 |
460 |
$22K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
3,827 |
3,129 |
$20K |
| 99221 |
|
218 |
178 |
$19K |
| 99188 |
|
1,458 |
1,377 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
579 |
497 |
$13K |
| 90716 |
|
2,246 |
2,158 |
$9K |
| 87807 |
|
1,393 |
1,330 |
$8K |
| 99243 |
|
90 |
83 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,026 |
823 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
61 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
214 |
181 |
$7K |
| 83655 |
|
1,332 |
1,296 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
655 |
612 |
$6K |
| 92567 |
|
1,153 |
1,116 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,572 |
1,524 |
$6K |
| 0071A |
|
250 |
219 |
$5K |
| 87634 |
|
136 |
132 |
$5K |
| 0072A |
|
221 |
208 |
$4K |
| H0049 |
Alcohol and/or drug screening |
595 |
525 |
$4K |
| 0001A |
|
398 |
384 |
$4K |
| 0002A |
|
321 |
312 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,084 |
2,928 |
$4K |
| 96127 |
|
5,346 |
4,682 |
$4K |
| 94664 |
|
700 |
657 |
$4K |
| 94010 |
|
211 |
198 |
$2K |
| 90670 |
|
3,564 |
3,435 |
$2K |
| 85018 |
|
1,548 |
1,498 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
275 |
255 |
$1K |
| 90707 |
|
2,008 |
1,939 |
$1K |
| 90620 |
|
1,400 |
1,317 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$984.96 |
| 90700 |
|
4,084 |
3,950 |
$920.30 |
| 94060 |
|
54 |
48 |
$902.33 |
| 90651 |
|
1,891 |
1,803 |
$798.23 |
| 69210 |
|
17 |
16 |
$721.08 |
| 90713 |
|
3,095 |
3,001 |
$614.87 |
| 90710 |
|
54 |
53 |
$526.85 |
| 90686 |
|
2,727 |
2,598 |
$515.15 |
| 81002 |
|
328 |
307 |
$455.33 |
| 1111F |
|
1,129 |
1,062 |
$407.08 |
| 90744 |
|
2,118 |
2,021 |
$335.46 |
| 90633 |
|
2,969 |
2,833 |
$323.94 |
| S9451 |
Exercise classes, non-physician provider, per session |
19,136 |
16,283 |
$309.03 |
| 96161 |
|
522 |
471 |
$196.45 |
| 90680 |
|
2,925 |
2,792 |
$141.61 |
| 90715 |
|
890 |
857 |
$82.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,383 |
5,367 |
$50.00 |
| 90648 |
|
2,770 |
2,672 |
$42.03 |
| 91307 |
|
420 |
345 |
$21.59 |
| 99177 |
|
14,347 |
12,026 |
$14.94 |
| 91300 |
|
594 |
512 |
$0.64 |
| 36416 |
|
1,674 |
1,552 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
480 |
419 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,387 |
8,900 |
$0.00 |
| 90656 |
|
165 |
160 |
$0.00 |
| 90619 |
|
270 |
251 |
$0.00 |
| 90887 |
|
34 |
28 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
41 |
41 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| 90697 |
|
96 |
95 |
$0.00 |
| 90734 |
|
1,108 |
1,066 |
$0.00 |
| 99173 |
|
2,186 |
1,824 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
11,136 |
9,783 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
416 |
395 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
110 |
101 |
$0.00 |
| 90473 |
|
27 |
26 |
$0.00 |
| 92552 |
|
32 |
30 |
$0.00 |
| 90685 |
|
80 |
80 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
33 |
31 |
$0.00 |