| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,304 |
10,293 |
$677K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,486 |
4,132 |
$422K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,071 |
9,921 |
$268K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,589 |
2,568 |
$261K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,538 |
2,535 |
$256K |
| 99173 |
|
6,575 |
6,545 |
$244K |
| 90461 |
|
5,048 |
4,104 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,603 |
1,570 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,649 |
1,637 |
$164K |
| 92587 |
|
3,920 |
3,895 |
$79K |
| 92558 |
|
2,502 |
2,494 |
$78K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,774 |
3,708 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
688 |
515 |
$27K |
| S9999 |
Sales tax |
3,258 |
2,854 |
$26K |
| 0071A |
|
435 |
418 |
$16K |
| 99401 |
|
557 |
557 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
746 |
464 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
761 |
746 |
$12K |
| 0072A |
|
300 |
300 |
$12K |
| 0002A |
|
188 |
188 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
121 |
118 |
$7K |
| 0001A |
|
164 |
163 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
295 |
$6K |
| 92551 |
|
412 |
411 |
$5K |
| 99215 |
Prolong outpt/office vis |
34 |
28 |
$4K |
| 83655 |
|
317 |
316 |
$4K |
| 95115 |
|
493 |
272 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
147 |
$4K |
| 96127 |
|
804 |
801 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
141 |
127 |
$4K |
| 90672 |
|
757 |
750 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
372 |
372 |
$3K |
| 99381 |
|
12 |
12 |
$2K |
| 90473 |
|
90 |
90 |
$2K |
| 85018 |
|
693 |
692 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
152 |
144 |
$2K |
| 95117 |
|
159 |
76 |
$1K |
| 99441 |
|
27 |
27 |
$1K |
| 99188 |
|
121 |
119 |
$1K |
| 90785 |
|
102 |
101 |
$1K |
| 96161 |
|
269 |
260 |
$1K |
| 87807 |
|
58 |
56 |
$757.00 |
| 94010 |
|
14 |
14 |
$440.50 |
| 80061 |
Lipid panel |
31 |
31 |
$387.27 |
| 90685 |
|
17 |
17 |
$353.70 |
| 36416 |
|
107 |
107 |
$326.46 |
| 81002 |
|
25 |
24 |
$83.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
70 |
$70.00 |
| 90686 |
|
3,628 |
3,615 |
$33.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
15 |
$13.91 |
| 90670 |
|
1,103 |
1,096 |
$8.41 |
| 91307 |
|
756 |
722 |
$6.43 |
| 91300 |
|
496 |
460 |
$4.64 |
| 90680 |
|
470 |
470 |
$3.60 |
| 90651 |
|
376 |
375 |
$3.44 |
| 90756 |
|
342 |
341 |
$3.30 |
| 90633 |
|
350 |
344 |
$2.53 |
| 90734 |
|
195 |
193 |
$1.53 |
| 90723 |
|
137 |
137 |
$1.12 |
| 90698 |
|
146 |
146 |
$1.03 |
| 90648 |
|
102 |
102 |
$0.85 |
| 90696 |
|
37 |
37 |
$0.29 |
| 90710 |
|
25 |
25 |
$0.22 |
| 90715 |
|
25 |
25 |
$0.20 |
| 90744 |
|
19 |
19 |
$0.15 |
| 99000 |
|
84 |
80 |
$0.11 |
| 90716 |
|
13 |
13 |
$0.09 |
| 90707 |
|
13 |
13 |
$0.07 |