| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,730 |
19,656 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,094 |
4,069 |
$390K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,732 |
3,456 |
$341K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,853 |
2,826 |
$290K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,758 |
1,742 |
$194K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,676 |
3,274 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,844 |
6,768 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,188 |
4,711 |
$62K |
| 99000 |
|
4,948 |
4,786 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
908 |
714 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
488 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,460 |
3,224 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
977 |
950 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,415 |
2,331 |
$38K |
| 87428 |
|
358 |
345 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,342 |
650 |
$21K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
247 |
182 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
107 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
169 |
$9K |
| 90461 |
|
1,042 |
974 |
$5K |
| 90474 |
|
469 |
465 |
$5K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
243 |
235 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$1K |
| 90686 |
|
3,193 |
3,157 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$921.69 |
| 99460 |
|
13 |
12 |
$867.87 |
| 99051 |
|
59 |
59 |
$648.55 |
| 0054A |
|
13 |
13 |
$624.00 |
| 0071A |
|
13 |
13 |
$620.00 |
| 90651 |
|
442 |
438 |
$587.20 |
| 81002 |
|
110 |
108 |
$372.18 |
| 90621 |
|
100 |
99 |
$128.68 |
| 90697 |
|
532 |
503 |
$0.01 |
| 90670 |
|
2,117 |
2,076 |
$0.01 |
| 90715 |
|
29 |
29 |
$0.01 |
| 90698 |
|
284 |
283 |
$0.00 |
| 90656 |
|
314 |
313 |
$0.00 |
| 90680 |
|
1,268 |
1,230 |
$0.00 |
| 90677 |
|
567 |
563 |
$0.00 |
| 90716 |
|
39 |
39 |
$0.00 |
| 90723 |
|
47 |
47 |
$0.00 |
| 90696 |
|
65 |
65 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90619 |
|
107 |
107 |
$0.00 |
| 91307 |
|
59 |
56 |
$0.00 |
| 96127 |
|
36 |
36 |
$0.00 |
| 91305 |
|
30 |
30 |
$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) |
13 |
12 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 90633 |
|
839 |
833 |
$0.00 |
| 90734 |
|
73 |
73 |
$0.00 |
| 90648 |
|
250 |
250 |
$0.00 |
| 90710 |
|
88 |
88 |
$0.00 |
| 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) |
254 |
216 |
$0.00 |
| 91308 |
|
14 |
13 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |