| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,383 |
15,076 |
$898K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,237 |
5,040 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,548 |
5,085 |
$398K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,592 |
10,951 |
$372K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,536 |
4,344 |
$348K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
4,368 |
402 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,202 |
3,107 |
$273K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,664 |
3,543 |
$270K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,496 |
287 |
$245K |
| 90461 |
|
4,811 |
4,354 |
$149K |
| H2016 |
Comprehensive community support services, per diem |
647 |
166 |
$113K |
| 92583 |
|
1,996 |
1,938 |
$95K |
| 99177 |
|
4,698 |
4,558 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,500 |
2,334 |
$79K |
| T1016 |
Case management, each 15 minutes |
903 |
329 |
$70K |
| 99381 |
|
820 |
796 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,651 |
1,532 |
$65K |
| H2014 |
Skills training and development, per 15 minutes |
1,858 |
259 |
$45K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
213 |
195 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,354 |
1,308 |
$39K |
| 99383 |
|
447 |
427 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,533 |
2,296 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,531 |
1,147 |
$20K |
| 81002 |
|
5,804 |
5,536 |
$18K |
| 99215 |
Prolong outpt/office vis |
119 |
117 |
$14K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,104 |
164 |
$14K |
| 83655 |
|
1,442 |
1,323 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
146 |
$13K |
| H0031 |
Mental health assessment, by non-physician |
138 |
137 |
$13K |
| 99382 |
|
164 |
157 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
97 |
93 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
177 |
13 |
$11K |
| 99173 |
|
5,610 |
5,207 |
$10K |
| 96127 |
|
1,077 |
1,045 |
$5K |
| 92551 |
|
452 |
435 |
$4K |
| 99188 |
|
344 |
308 |
$3K |
| 85018 |
|
1,679 |
1,549 |
$3K |
| 31720 |
|
63 |
60 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
139 |
137 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
15 |
$2K |
| 99384 |
|
24 |
23 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
137 |
136 |
$2K |
| 87807 |
|
150 |
143 |
$2K |
| 95117 |
|
220 |
158 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 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) |
27 |
25 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$874.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
54 |
$792.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
146 |
$772.34 |
| 99441 |
|
34 |
32 |
$435.93 |
| 90619 |
|
198 |
114 |
$253.12 |
| 94760 |
|
242 |
210 |
$205.43 |
| 96160 |
|
41 |
40 |
$98.26 |
| 90621 |
|
736 |
611 |
$60.00 |
| 36416 |
|
615 |
491 |
$36.98 |
| 90686 |
|
2,444 |
2,055 |
$34.84 |
| 90651 |
|
1,508 |
1,284 |
$31.01 |
| 99000 |
|
33 |
31 |
$30.79 |
| 90734 |
|
966 |
849 |
$15.43 |
| 90670 |
|
2,620 |
2,347 |
$6.83 |
| 90680 |
|
1,643 |
1,487 |
$6.83 |
| 90697 |
|
41 |
38 |
$6.83 |
| 90710 |
|
907 |
769 |
$2.20 |
| 90707 |
|
543 |
471 |
$0.00 |
| 90700 |
|
52 |
51 |
$0.00 |
| 90633 |
|
1,636 |
1,423 |
$0.00 |
| 90685 |
|
112 |
96 |
$0.00 |
| 90715 |
|
651 |
533 |
$0.00 |
| 99072 |
|
180 |
131 |
$0.00 |
| 90648 |
|
21 |
21 |
$0.00 |
| 90698 |
|
2,140 |
1,919 |
$0.00 |
| 90744 |
|
1,108 |
979 |
$0.00 |
| 90716 |
|
588 |
514 |
$0.00 |
| 90696 |
|
734 |
613 |
$0.00 |