| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,462 |
33,243 |
$2.32M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,517 |
10,433 |
$1.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,806 |
9,773 |
$968K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,234 |
5,188 |
$531K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,948 |
2,781 |
$267K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,026 |
14,820 |
$191K |
| 87428 |
|
2,850 |
2,774 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,387 |
1,374 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,390 |
5,051 |
$146K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,021 |
9,425 |
$143K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,593 |
8,113 |
$113K |
| 99000 |
|
9,182 |
8,928 |
$107K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,406 |
5,239 |
$87K |
| 99460 |
|
471 |
458 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
450 |
440 |
$29K |
| 99429 |
|
724 |
712 |
$28K |
| 90474 |
|
2,354 |
2,297 |
$24K |
| 90461 |
|
3,476 |
2,908 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,070 |
532 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
245 |
242 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
105 |
98 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
203 |
$9K |
| 99381 |
|
76 |
75 |
$8K |
| 90480 |
|
152 |
150 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
80 |
64 |
$4K |
| 0081A |
|
76 |
76 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
48 |
40 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
31 |
$1K |
| 87807 |
|
109 |
106 |
$1K |
| 0082A |
|
29 |
29 |
$1K |
| 90686 |
|
6,971 |
6,844 |
$702.43 |
| 99462 |
|
15 |
15 |
$606.76 |
| 96380 |
|
41 |
29 |
$606.56 |
| 0154A |
|
12 |
12 |
$576.00 |
| 96381 |
|
13 |
13 |
$221.00 |
| 90734 |
|
24 |
24 |
$173.38 |
| 81003 |
|
51 |
46 |
$112.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$104.36 |
| 90670 |
|
5,764 |
5,525 |
$0.03 |
| 90651 |
|
514 |
508 |
$0.01 |
| 90700 |
|
490 |
485 |
$0.00 |
| 90633 |
|
2,693 |
2,674 |
$0.00 |
| 91308 |
|
210 |
194 |
$0.00 |
| 90707 |
|
488 |
488 |
$0.00 |
| 90648 |
|
420 |
416 |
$0.00 |
| 90710 |
|
327 |
325 |
$0.00 |
| 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) |
498 |
442 |
$0.00 |
| 90680 |
|
4,355 |
4,121 |
$0.00 |
| 90698 |
|
1,914 |
1,893 |
$0.00 |
| 90697 |
|
1,577 |
1,399 |
$0.00 |
| 90677 |
|
1,383 |
1,356 |
$0.00 |
| 90696 |
|
310 |
308 |
$0.00 |
| 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) |
132 |
118 |
$0.00 |
| 90716 |
|
490 |
490 |
$0.00 |
| 91307 |
|
90 |
80 |
$0.00 |
| 90619 |
|
50 |
50 |
$0.00 |
| 36416 |
|
83 |
78 |
$0.00 |
| 90744 |
|
946 |
933 |
$0.00 |
| 90656 |
|
1,052 |
1,050 |
$0.00 |
| 96127 |
|
64 |
61 |
$0.00 |
| 91315 |
|
12 |
12 |
$0.00 |
| 90381 |
|
46 |
28 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |