| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158,690 |
146,230 |
$10.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96,282 |
89,916 |
$9.29M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78,626 |
77,059 |
$4.29M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36,668 |
36,188 |
$3.66M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33,819 |
31,846 |
$3.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26,063 |
25,808 |
$2.61M |
| 90837 |
Psychotherapy, 53 minutes with patient |
21,656 |
12,433 |
$2.29M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,701 |
12,558 |
$1.40M |
| G9153 |
Mapcp demonstration - physician incentive pool |
23,894 |
23,786 |
$1.18M |
| 87428 |
|
16,136 |
15,642 |
$976K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18,142 |
17,527 |
$882K |
| 90461 |
|
24,487 |
23,878 |
$650K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34,579 |
16,547 |
$463K |
| 96127 |
|
35,359 |
34,508 |
$239K |
| 90791 |
Psychiatric diagnostic evaluation |
1,421 |
1,407 |
$217K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,419 |
13,899 |
$193K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,759 |
7,467 |
$191K |
| 99460 |
|
2,203 |
2,028 |
$173K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,841 |
1,698 |
$113K |
| 87430 |
|
8,221 |
7,893 |
$108K |
| 99174 |
|
19,238 |
18,978 |
$102K |
| 99381 |
|
925 |
878 |
$97K |
| 83655 |
|
7,987 |
7,868 |
$95K |
| 99499 |
|
1,267 |
1,048 |
$95K |
| 92551 |
|
19,624 |
19,267 |
$86K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,030 |
822 |
$74K |
| 99051 |
|
5,859 |
5,619 |
$68K |
| 99188 |
|
4,241 |
4,130 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,619 |
8,159 |
$65K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
487 |
479 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,759 |
6,620 |
$49K |
| 87807 |
|
3,805 |
3,664 |
$43K |
| 96161 |
|
5,122 |
4,914 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
432 |
402 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
217 |
204 |
$29K |
| 81002 |
|
8,536 |
8,105 |
$25K |
| 87400 |
|
982 |
484 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
279 |
219 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
495 |
453 |
$6K |
| 85018 |
|
2,231 |
2,171 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
226 |
215 |
$5K |
| 99383 |
|
43 |
43 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,515 |
1,438 |
$4K |
| 82465 |
|
1,076 |
1,052 |
$4K |
| 96131 |
|
12 |
12 |
$3K |
| 90677 |
|
3,800 |
3,748 |
$3K |
| 99382 |
|
27 |
27 |
$3K |
| 99462 |
|
48 |
39 |
$2K |
| 81003 |
|
845 |
788 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90651 |
|
3,432 |
3,367 |
$1K |
| 83718 |
|
197 |
191 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
490 |
483 |
$1K |
| 96130 |
|
12 |
12 |
$1K |
| 90670 |
|
18,532 |
18,123 |
$967.90 |
| 99402 |
|
16 |
16 |
$828.21 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
33 |
33 |
$757.13 |
| 90716 |
|
7,557 |
7,444 |
$673.20 |
| 95117 |
|
65 |
39 |
$493.20 |
| 90686 |
|
14,179 |
13,969 |
$356.19 |
| 90707 |
|
7,917 |
7,783 |
$279.98 |
| 90723 |
|
15,480 |
15,142 |
$265.57 |
| 96380 |
|
13 |
13 |
$227.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
244 |
235 |
$214.89 |
| 90715 |
|
722 |
710 |
$165.08 |
| 86308 |
|
32 |
29 |
$159.94 |
| 90734 |
|
2,226 |
2,186 |
$156.20 |
| 90696 |
|
1,143 |
1,119 |
$124.00 |
| 90633 |
|
8,253 |
8,099 |
$107.92 |
| 96160 |
|
12 |
12 |
$85.97 |
| 87081 |
|
17 |
13 |
$80.36 |
| 90648 |
|
20,792 |
20,375 |
$23.06 |
| 90656 |
|
389 |
389 |
$20.64 |
| 99173 |
|
1,828 |
1,768 |
$10.37 |
| 90620 |
|
253 |
251 |
$0.00 |
| 90647 |
|
971 |
963 |
$0.00 |
| 90744 |
|
63 |
59 |
$0.00 |
| 90680 |
|
113 |
109 |
$0.00 |
| 90698 |
|
134 |
129 |
$0.00 |
| 90681 |
|
4,635 |
4,499 |
$0.00 |
| 90700 |
|
1,595 |
1,570 |
$0.00 |
| 90685 |
|
49 |
49 |
$0.00 |