| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,236 |
15,589 |
$1.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,339 |
21,005 |
$1.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,132 |
5,741 |
$720K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,784 |
4,331 |
$553K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,803 |
3,819 |
$430K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,054 |
14,430 |
$313K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
5,417 |
3,976 |
$288K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,056 |
2,185 |
$262K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,209 |
1,113 |
$244K |
| 90461 |
|
8,522 |
6,433 |
$157K |
| 92587 |
|
12,755 |
10,140 |
$112K |
| 99188 |
|
3,144 |
2,626 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,597 |
3,322 |
$50K |
| 99215 |
Prolong outpt/office vis |
173 |
160 |
$30K |
| 90671 |
|
121 |
121 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
343 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,912 |
2,361 |
$15K |
| 90698 |
|
4,137 |
3,010 |
$11K |
| 36416 |
|
4,427 |
3,468 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
808 |
751 |
$8K |
| 90688 |
|
897 |
849 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
334 |
325 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
56 |
54 |
$4K |
| 96127 |
|
3,069 |
2,170 |
$4K |
| 99383 |
|
31 |
30 |
$4K |
| 90670 |
|
3,920 |
2,826 |
$4K |
| 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) |
797 |
720 |
$3K |
| 0001A |
|
53 |
53 |
$2K |
| 87420 |
|
423 |
251 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 0071A |
|
43 |
34 |
$1K |
| 85018 |
|
779 |
628 |
$1K |
| 87428 |
|
136 |
132 |
$1K |
| 90686 |
|
1,988 |
1,864 |
$1K |
| 87807 |
|
251 |
224 |
$982.16 |
| H0049 |
Alcohol and/or drug screening |
67 |
63 |
$954.28 |
| 99051 |
|
200 |
105 |
$830.08 |
| 0002A |
|
21 |
21 |
$829.38 |
| 87400 |
|
30 |
26 |
$764.80 |
| 90633 |
|
1,504 |
1,103 |
$720.14 |
| 82465 |
|
206 |
176 |
$291.13 |
| 99441 |
|
26 |
25 |
$280.75 |
| 90672 |
|
21 |
17 |
$278.08 |
| 90687 |
|
102 |
87 |
$272.71 |
| 90651 |
|
561 |
382 |
$265.73 |
| 90696 |
|
74 |
73 |
$252.41 |
| 83718 |
|
163 |
134 |
$245.34 |
| 90710 |
|
37 |
36 |
$215.27 |
| 90744 |
|
1,307 |
973 |
$192.08 |
| 81003 |
|
50 |
48 |
$103.40 |
| 99177 |
|
11,806 |
8,994 |
$100.87 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
27 |
$78.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$60.51 |
| 90680 |
|
2,033 |
1,504 |
$24.01 |
| 94760 |
|
33 |
31 |
$2.42 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
38 |
36 |
$0.15 |
| 90734 |
|
266 |
212 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90715 |
|
183 |
130 |
$0.00 |
| 91300 |
|
93 |
77 |
$0.00 |
| 91311 |
|
49 |
12 |
$0.00 |
| 90621 |
|
18 |
18 |
$0.00 |
| 90677 |
|
253 |
241 |
$0.00 |
| 90619 |
|
77 |
77 |
$0.00 |
| 91307 |
|
102 |
82 |
$0.00 |
| 90656 |
|
70 |
70 |
$0.00 |
| 90716 |
|
36 |
12 |
$0.00 |