| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,106 |
57,157 |
$4.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,829 |
32,625 |
$4.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,221 |
13,813 |
$1.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,939 |
11,343 |
$1.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,622 |
8,601 |
$828K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,588 |
16,591 |
$400K |
| 90671 |
|
1,941 |
1,864 |
$341K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,518 |
3,411 |
$320K |
| 87428 |
|
3,476 |
3,352 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,445 |
2,241 |
$124K |
| 90461 |
|
8,627 |
8,129 |
$124K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,171 |
14,445 |
$71K |
| 99188 |
|
5,905 |
5,647 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,962 |
7,743 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,820 |
1,733 |
$48K |
| 99051 |
|
4,889 |
4,472 |
$31K |
| 90670 |
|
4,587 |
4,286 |
$21K |
| 83655 |
|
4,019 |
3,868 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
267 |
205 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,563 |
3,404 |
$19K |
| 90686 |
|
6,577 |
5,989 |
$18K |
| 87430 |
|
1,144 |
1,069 |
$14K |
| 90698 |
|
1,762 |
1,639 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,214 |
2,956 |
$11K |
| 85018 |
|
10,839 |
10,375 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
183 |
139 |
$9K |
| 96160 |
|
17,271 |
16,453 |
$6K |
| H0049 |
Alcohol and/or drug screening |
209 |
201 |
$5K |
| 96127 |
|
4,865 |
4,569 |
$4K |
| 90474 |
|
1,190 |
1,162 |
$3K |
| 96161 |
|
4,336 |
4,026 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90716 |
|
622 |
573 |
$1K |
| 0001A |
|
45 |
45 |
$1K |
| 92551 |
|
13,262 |
11,572 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| 90700 |
|
826 |
769 |
$931.74 |
| 99071 |
|
26,290 |
24,364 |
$870.99 |
| 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) |
126 |
117 |
$828.02 |
| 90619 |
|
116 |
112 |
$689.07 |
| 90651 |
|
750 |
680 |
$648.26 |
| 90707 |
|
615 |
565 |
$518.89 |
| 36416 |
|
8,760 |
8,138 |
$449.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
128 |
113 |
$431.23 |
| 91300 |
|
118 |
118 |
$429.92 |
| 90656 |
|
491 |
485 |
$411.92 |
| 0071A |
|
15 |
14 |
$391.16 |
| 81002 |
|
319 |
297 |
$376.80 |
| 90633 |
|
840 |
777 |
$297.69 |
| 96381 |
|
31 |
25 |
$244.66 |
| 99177 |
|
11,962 |
11,195 |
$226.56 |
| 90744 |
|
1,086 |
943 |
$180.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
213 |
$170.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
72 |
$12.13 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
195 |
176 |
$3.96 |
| 90734 |
|
160 |
154 |
$0.00 |
| 90715 |
|
55 |
50 |
$0.00 |
| 90648 |
|
26 |
24 |
$0.00 |
| 90713 |
|
43 |
39 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,006 |
2,744 |
$0.00 |
| 99000 |
|
1,685 |
1,503 |
$0.00 |
| 90680 |
|
2,124 |
1,946 |
$0.00 |
| 91307 |
|
53 |
50 |
$0.00 |