| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,972 |
9,598 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,184 |
43,404 |
$163K |
| 96156 |
|
17,456 |
17,203 |
$120K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,052 |
13,530 |
$21K |
| 99221 |
|
1,179 |
1,143 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,620 |
5,494 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
972 |
942 |
$16K |
| 90680 |
|
6,661 |
5,821 |
$14K |
| 90698 |
|
7,057 |
6,210 |
$14K |
| 90670 |
|
7,790 |
6,905 |
$13K |
| 90744 |
|
4,690 |
4,193 |
$10K |
| 97802 |
|
12,749 |
12,706 |
$9K |
| G0515 |
Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes |
4,054 |
3,708 |
$9K |
| 0071A |
|
227 |
227 |
$9K |
| 0072A |
|
224 |
224 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
393 |
389 |
$8K |
| 97129 |
|
17,282 |
16,553 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,353 |
11,605 |
$7K |
| G9920 |
Screening performed and negative |
17,370 |
17,105 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,415 |
11,260 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
91 |
$5K |
| 92551 |
|
15,683 |
15,469 |
$3K |
| 90686 |
|
10,158 |
9,865 |
$3K |
| 85018 |
|
35,261 |
33,451 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,425 |
4,385 |
$2K |
| 96111 |
|
558 |
404 |
$2K |
| 83655 |
|
10,995 |
10,666 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,789 |
11,435 |
$1K |
| 90671 |
|
543 |
515 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
133 |
121 |
$1K |
| 90651 |
|
3,716 |
3,699 |
$1K |
| 90677 |
|
488 |
472 |
$837.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
3,774 |
3,689 |
$818.64 |
| 99188 |
|
9,663 |
9,411 |
$721.66 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,824 |
3,749 |
$640.38 |
| D1206 |
Topical application of fluoride varnish |
6,113 |
5,836 |
$534.60 |
| 0001A |
|
13 |
13 |
$520.00 |
| 0002A |
|
13 |
13 |
$520.00 |
| 17110 |
|
411 |
368 |
$518.14 |
| 90672 |
|
2,794 |
2,781 |
$279.00 |
| 99407 |
|
4,899 |
4,831 |
$274.98 |
| 86580 |
|
2,762 |
2,275 |
$229.77 |
| 90688 |
|
184 |
177 |
$200.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,024 |
3,731 |
$191.01 |
| 90633 |
|
4,709 |
4,222 |
$153.00 |
| 90685 |
|
333 |
304 |
$138.44 |
| 90716 |
|
4,128 |
3,988 |
$126.00 |
| 90707 |
|
4,074 |
3,939 |
$126.00 |
| 90700 |
|
4,119 |
3,996 |
$126.00 |
| 96112 |
|
14 |
14 |
$115.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
139 |
$102.50 |
| 87634 |
|
84 |
84 |
$98.82 |
| 90619 |
|
828 |
824 |
$90.00 |
| 90715 |
|
1,389 |
1,383 |
$72.00 |
| 90713 |
|
2,064 |
2,043 |
$63.00 |
| 90648 |
|
1,998 |
1,903 |
$54.00 |
| 90620 |
|
730 |
727 |
$36.00 |
| 90734 |
|
995 |
981 |
$36.00 |
| 81002 |
|
2,642 |
2,566 |
$34.47 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15,123 |
14,829 |
$30.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,337 |
1,323 |
$22.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
119 |
$18.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
104 |
$12.63 |
| 90621 |
|
189 |
188 |
$9.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
629 |
579 |
$6.92 |
| 3074F |
|
16,396 |
16,253 |
$0.00 |
| 3075F |
|
56 |
56 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
302 |
300 |
$0.00 |
| 87650 |
|
88 |
87 |
$0.00 |
| 3079F |
|
58 |
58 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 3078F |
|
16,373 |
16,231 |
$0.00 |
| 99173 |
|
8,705 |
8,596 |
$0.00 |
| 94664 |
|
111 |
103 |
$0.00 |
| 99401 |
|
1,680 |
1,657 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |