| Code | Description | Claims | Beneficiaries | Total Paid |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25,600 |
25,243 |
$2.40M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24,557 |
24,220 |
$2.18M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19,686 |
19,256 |
$1.97M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,378 |
18,026 |
$1.58M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98,082 |
45,971 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140,432 |
132,614 |
$971K |
| 99429 |
|
21,747 |
21,462 |
$792K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16,286 |
15,941 |
$566K |
| 99050 |
|
4,847 |
4,727 |
$481K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,124 |
6,963 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,672 |
23,764 |
$264K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27,051 |
20,554 |
$248K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,627 |
15,391 |
$146K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,747 |
1,141 |
$131K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,429 |
7,290 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,421 |
20,721 |
$116K |
| 99381 |
|
1,254 |
1,219 |
$111K |
| 99051 |
|
27,320 |
26,846 |
$110K |
| 90791 |
Psychiatric diagnostic evaluation |
713 |
686 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
798 |
783 |
$77K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37,761 |
18,485 |
$74K |
| 90461 |
|
26,541 |
21,595 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,286 |
23,833 |
$48K |
| 96160 |
|
23,729 |
23,164 |
$46K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,856 |
2,334 |
$35K |
| 83655 |
|
2,066 |
2,037 |
$21K |
| 87070 |
|
19,364 |
19,027 |
$20K |
| 90620 |
|
2,304 |
2,265 |
$15K |
| 0071A |
|
322 |
311 |
$13K |
| 90474 |
|
1,505 |
1,478 |
$13K |
| 0001A |
|
342 |
340 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
326 |
227 |
$11K |
| 0072A |
|
240 |
236 |
$10K |
| 0002A |
|
233 |
233 |
$9K |
| 90686 |
|
25,849 |
25,342 |
$8K |
| 87280 |
|
4,043 |
3,956 |
$8K |
| 96161 |
|
25,077 |
23,997 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
76 |
73 |
$6K |
| 90651 |
|
6,326 |
6,178 |
$6K |
| 96380 |
|
253 |
253 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
100 |
67 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
52 |
42 |
$3K |
| 96381 |
|
153 |
149 |
$3K |
| 99383 |
|
24 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,418 |
1,389 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,335 |
1,316 |
$2K |
| 99384 |
|
15 |
15 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
527 |
$1K |
| 80061 |
Lipid panel |
610 |
601 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
884 |
866 |
$1K |
| 99000 |
|
568 |
550 |
$1K |
| 99215 |
Prolong outpt/office vis |
48 |
43 |
$976.58 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$794.16 |
| 80050 |
General health panel |
100 |
100 |
$765.06 |
| 87807 |
|
407 |
399 |
$708.40 |
| 69209 |
|
50 |
48 |
$667.13 |
| 90619 |
|
2,665 |
2,609 |
$529.38 |
| 0081A |
|
13 |
13 |
$520.00 |
| 80053 |
Comprehensive metabolic panel |
368 |
362 |
$469.75 |
| 84439 |
|
277 |
276 |
$453.24 |
| 81003 |
|
624 |
596 |
$269.15 |
| 90715 |
|
1,418 |
1,404 |
$255.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
72 |
$248.27 |
| 85014 |
|
1,529 |
1,510 |
$247.13 |
| 81001 |
|
545 |
532 |
$237.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
110 |
108 |
$190.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
75 |
74 |
$186.24 |
| 90734 |
|
2,421 |
2,376 |
$169.76 |
| 86580 |
|
24 |
24 |
$147.57 |
| 90656 |
|
2,861 |
2,857 |
$115.74 |
| 86318 |
|
17 |
17 |
$48.64 |
| 82948 |
|
39 |
39 |
$37.20 |
| 82465 |
|
66 |
61 |
$36.18 |
| 90688 |
|
476 |
449 |
$18.98 |
| 85018 |
|
1,716 |
1,695 |
$14.24 |
| 96127 |
|
2,469 |
2,412 |
$4.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
106 |
$2.94 |
| 85652 |
|
12 |
12 |
$0.85 |
| 91307 |
|
595 |
551 |
$0.02 |
| 90671 |
|
6,789 |
6,673 |
$0.01 |
| 90697 |
|
7,197 |
7,077 |
$0.01 |
| 90670 |
|
9,191 |
9,056 |
$0.00 |
| 90633 |
|
6,823 |
6,706 |
$0.00 |
| 90710 |
|
1,605 |
1,594 |
$0.00 |
| 3085F |
|
17,857 |
17,406 |
$0.00 |
| 90707 |
|
839 |
829 |
$0.00 |
| 90700 |
|
76 |
76 |
$0.00 |
| 90380 |
|
55 |
55 |
$0.00 |
| 91308 |
|
30 |
30 |
$0.00 |
| 91300 |
|
609 |
539 |
$0.00 |
| 90648 |
|
66 |
66 |
$0.00 |
| 90698 |
|
4,282 |
4,222 |
$0.00 |
| 2001F |
|
90,966 |
88,074 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,074 |
1,044 |
$0.00 |
| 90680 |
|
9,142 |
8,999 |
$0.00 |
| 2000F |
|
58,208 |
57,006 |
$0.00 |
| 36416 |
|
1,396 |
1,377 |
$0.00 |
| 3008F |
|
59,624 |
58,466 |
$0.00 |
| 90716 |
|
903 |
890 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
368 |
362 |
$0.00 |
| 90381 |
|
200 |
190 |
$0.00 |
| 90696 |
|
1,284 |
1,274 |
$0.00 |
| 90744 |
|
1,323 |
1,301 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |