| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,608 |
37,274 |
$5.31M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,342 |
9,811 |
$646K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,331 |
14,139 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,949 |
2,918 |
$413K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,799 |
3,790 |
$412K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,798 |
2,784 |
$306K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,172 |
2,167 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,381 |
2,309 |
$246K |
| 92587 |
|
10,116 |
9,971 |
$222K |
| 96160 |
|
7,152 |
6,908 |
$180K |
| 87428 |
|
3,071 |
2,953 |
$169K |
| 90671 |
|
834 |
834 |
$158K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,582 |
1,578 |
$127K |
| 90461 |
|
3,746 |
3,507 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
695 |
685 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,508 |
4,393 |
$64K |
| H0049 |
Alcohol and/or drug screening |
3,319 |
3,315 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,324 |
1,264 |
$39K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,255 |
3,251 |
$34K |
| 99381 |
|
224 |
223 |
$26K |
| 0072A |
|
536 |
536 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
168 |
$20K |
| 97802 |
|
10,889 |
10,608 |
$20K |
| 0002A |
|
458 |
457 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
104 |
$18K |
| 0001A |
|
438 |
430 |
$18K |
| 0071A |
|
346 |
346 |
$16K |
| 90381 |
|
31 |
31 |
$14K |
| 99401 |
|
631 |
629 |
$13K |
| 0003A |
|
301 |
301 |
$12K |
| 90686 |
|
6,528 |
6,521 |
$10K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
498 |
496 |
$10K |
| 86580 |
|
931 |
898 |
$9K |
| 99383 |
|
49 |
47 |
$5K |
| 0154A |
|
127 |
127 |
$5K |
| 99188 |
|
313 |
313 |
$5K |
| 0074A |
|
120 |
120 |
$5K |
| 90619 |
|
446 |
446 |
$5K |
| 0012A |
|
90 |
90 |
$4K |
| 0011A |
|
87 |
87 |
$4K |
| 0013A |
|
87 |
87 |
$4K |
| 0124A |
|
103 |
103 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
181 |
$3K |
| 90651 |
|
1,734 |
1,732 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
8,781 |
8,716 |
$2K |
| 0081A |
|
56 |
56 |
$2K |
| 99177 |
|
10,322 |
10,218 |
$2K |
| 90698 |
|
1,188 |
1,188 |
$2K |
| 90680 |
|
1,183 |
1,183 |
$2K |
| 90716 |
|
766 |
765 |
$2K |
| 90620 |
|
333 |
333 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
125 |
$2K |
| 36406 |
|
514 |
514 |
$2K |
| 90633 |
|
870 |
870 |
$2K |
| 0082A |
|
36 |
36 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 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) |
84 |
82 |
$1K |
| 96380 |
|
42 |
42 |
$980.13 |
| 90715 |
|
549 |
549 |
$960.10 |
| 90744 |
|
1,669 |
1,666 |
$810.93 |
| 91315 |
|
113 |
113 |
$790.00 |
| 90707 |
|
916 |
916 |
$768.28 |
| 99051 |
|
131 |
126 |
$695.63 |
| 91312 |
|
91 |
91 |
$512.76 |
| 90480 |
|
12 |
12 |
$503.78 |
| 0083A |
|
12 |
12 |
$480.00 |
| 96127 |
|
622 |
621 |
$466.50 |
| 99173 |
|
6,917 |
6,880 |
$347.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$226.49 |
| 90656 |
|
804 |
803 |
$194.22 |
| 3074F |
|
1,469 |
1,468 |
$182.50 |
| 3078F |
|
1,468 |
1,467 |
$182.50 |
| 90648 |
|
64 |
64 |
$160.65 |
| 90713 |
|
103 |
102 |
$145.41 |
| 94664 |
|
13 |
13 |
$138.32 |
| 88720 |
|
158 |
158 |
$112.87 |
| 91317 |
|
12 |
12 |
$96.90 |
| 99072 |
|
740 |
701 |
$70.00 |
| 69209 |
|
16 |
16 |
$34.72 |
| 85018 |
|
12 |
12 |
$27.61 |
| 90670 |
|
803 |
803 |
$17.85 |
| 91308 |
|
183 |
173 |
$8.15 |
| A4617 |
Mouth piece |
12 |
12 |
$1.62 |
| 91307 |
|
907 |
829 |
$0.20 |
| 91300 |
|
1,051 |
943 |
$0.09 |
| 91301 |
|
132 |
130 |
$0.01 |
| 3008F |
|
9,277 |
9,032 |
$0.00 |
| 1031F |
|
2,644 |
2,640 |
$0.00 |
| 90696 |
|
108 |
108 |
$0.00 |
| 90734 |
|
313 |
313 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |