| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130,384 |
122,287 |
$7.89M |
| 99199 |
Unlisted special service, procedure or report |
1,015,713 |
510,420 |
$6.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,585 |
47,484 |
$4.61M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55,032 |
53,076 |
$2.86M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25,710 |
23,910 |
$2.18M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24,096 |
23,392 |
$2.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,762 |
11,318 |
$1.04M |
| 90837 |
Psychotherapy, 53 minutes with patient |
8,445 |
4,980 |
$711K |
| D0145 |
Oral evaluation for a patient under three years of age |
11,951 |
11,651 |
$406K |
| 99051 |
|
17,038 |
15,982 |
$394K |
| 99401 |
|
11,036 |
10,358 |
$370K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,655 |
3,539 |
$356K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35,410 |
33,595 |
$329K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,115 |
13,438 |
$271K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,229 |
15,466 |
$215K |
| D1206 |
Topical application of fluoride varnish |
11,959 |
11,662 |
$178K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,080 |
5,810 |
$160K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,382 |
2,330 |
$149K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,018 |
4,906 |
$144K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,889 |
1,820 |
$123K |
| 96127 |
|
25,899 |
23,945 |
$113K |
| 99215 |
Prolong outpt/office vis |
894 |
756 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,292 |
2,245 |
$111K |
| 92551 |
|
33,121 |
31,828 |
$100K |
| 85027 |
|
11,511 |
10,909 |
$85K |
| 0002A |
|
1,042 |
961 |
$67K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,718 |
1,601 |
$64K |
| 0001A |
|
941 |
883 |
$57K |
| 99173 |
|
36,223 |
34,929 |
$51K |
| 96161 |
|
11,729 |
11,118 |
$42K |
| 90686 |
|
28,874 |
27,827 |
$41K |
| 0071A |
|
678 |
593 |
$38K |
| 0072A |
|
591 |
561 |
$38K |
| 96160 |
|
10,800 |
10,018 |
$38K |
| 83655 |
|
2,662 |
2,557 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
839 |
814 |
$32K |
| 90651 |
|
1,504 |
1,430 |
$30K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
144 |
143 |
$24K |
| 90670 |
|
14,854 |
14,204 |
$19K |
| 99070 |
|
2,171 |
1,926 |
$18K |
| 90480 |
|
355 |
308 |
$14K |
| 99381 |
|
119 |
114 |
$11K |
| 90474 |
|
524 |
508 |
$10K |
| 96101 |
|
43 |
27 |
$9K |
| 81003 |
|
3,473 |
3,276 |
$9K |
| 90656 |
|
2,532 |
2,507 |
$7K |
| 90734 |
|
352 |
336 |
$6K |
| 90785 |
|
1,189 |
795 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
487 |
420 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
207 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
40 |
$4K |
| 90700 |
|
19,759 |
18,987 |
$4K |
| 90619 |
|
389 |
360 |
$4K |
| 90713 |
|
13,422 |
12,899 |
$3K |
| 90680 |
|
7,553 |
7,242 |
$3K |
| 94664 |
|
341 |
313 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
189 |
170 |
$3K |
| 0054A |
|
61 |
47 |
$3K |
| 0124A |
|
49 |
45 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
37 |
$2K |
| 0004A |
|
42 |
36 |
$2K |
| 90836 |
|
41 |
26 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
71 |
71 |
$2K |
| 87634 |
|
70 |
68 |
$2K |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$2K |
| 90461 |
|
25,438 |
24,394 |
$2K |
| 96130 |
|
14 |
12 |
$2K |
| 99243 |
|
12 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
137 |
130 |
$1K |
| 90715 |
|
181 |
163 |
$1K |
| 94010 |
|
49 |
47 |
$1K |
| 90716 |
|
2,720 |
2,591 |
$1K |
| 87807 |
|
77 |
73 |
$1K |
| 90647 |
|
7,541 |
7,248 |
$1K |
| 90633 |
|
3,469 |
3,329 |
$735.55 |
| 90707 |
|
2,709 |
2,579 |
$524.74 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
18 |
14 |
$518.55 |
| 96136 |
|
14 |
12 |
$502.07 |
| 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) |
4,030 |
3,881 |
$382.54 |
| 90688 |
|
31 |
21 |
$327.00 |
| 91322 |
|
18 |
12 |
$263.68 |
| 99177 |
|
16,129 |
15,614 |
$247.88 |
| 96380 |
|
12 |
12 |
$207.38 |
| 90744 |
|
2,999 |
2,879 |
$154.86 |
| 82247 |
|
16 |
13 |
$104.16 |
| 82962 |
|
28 |
24 |
$69.36 |
| 36416 |
|
26,175 |
24,063 |
$20.14 |
| 99072 |
|
8,180 |
7,687 |
$7.00 |
| 90677 |
|
329 |
322 |
$2.29 |
| 90380 |
|
33 |
26 |
$0.11 |
| 90381 |
|
24 |
24 |
$0.09 |
| 90685 |
|
2,143 |
2,047 |
$0.00 |
| 91300 |
|
2,500 |
2,205 |
$0.00 |
| 91311 |
|
13 |
12 |
$0.00 |
| 91321 |
|
73 |
66 |
$0.00 |
| 91312 |
|
48 |
44 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 99000 |
|
17,222 |
16,270 |
$0.00 |
| 91307 |
|
1,779 |
1,577 |
$0.00 |
| 91305 |
|
255 |
221 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
43 |
43 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |