| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,239 |
39,609 |
$8.45M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,716 |
9,111 |
$2.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,217 |
10,017 |
$2.11M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,407 |
6,053 |
$1.22M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,746 |
5,433 |
$1.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,642 |
1,502 |
$270K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
729 |
665 |
$127K |
| 90834 |
Psychotherapy, 45 minutes with patient |
564 |
297 |
$120K |
| T1015 |
Clinic visit/encounter, all-inclusive |
185 |
145 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
110 |
65 |
$15K |
| X5622 |
|
242 |
180 |
$13K |
| 99381 |
|
50 |
47 |
$10K |
| 99442 |
|
47 |
45 |
$10K |
| 99188 |
|
3,122 |
2,890 |
$6K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$3K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
120 |
92 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
9,474 |
7,747 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,447 |
1,216 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,927 |
3,322 |
$1K |
| V5008 |
Hearing screening |
5,121 |
4,743 |
$920.70 |
| 80061 |
Lipid panel |
990 |
863 |
$844.03 |
| 90838 |
|
247 |
177 |
$813.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,903 |
8,391 |
$430.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,053 |
12,279 |
$414.00 |
| 90670 |
|
3,685 |
3,497 |
$406.04 |
| 80050 |
General health panel |
216 |
195 |
$355.42 |
| 84443 |
Thyroid stimulating hormone (TSH) |
724 |
666 |
$261.55 |
| 83655 |
|
1,537 |
1,383 |
$251.09 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
315 |
286 |
$230.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,411 |
4,035 |
$207.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,751 |
2,478 |
$206.01 |
| 36416 |
|
3,608 |
3,209 |
$168.30 |
| 90715 |
|
965 |
878 |
$166.33 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
365 |
344 |
$142.63 |
| 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) |
527 |
337 |
$132.31 |
| 71046 |
Radiologic examination, chest; 2 views |
524 |
470 |
$119.81 |
| 81001 |
|
1,349 |
1,176 |
$114.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,497 |
1,594 |
$114.34 |
| 84439 |
|
639 |
612 |
$102.39 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
520 |
471 |
$93.88 |
| 99173 |
|
5,154 |
4,764 |
$85.47 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
950 |
875 |
$64.56 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,134 |
1,080 |
$61.23 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
13 |
$60.10 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
555 |
490 |
$55.33 |
| 85018 |
|
1,492 |
1,339 |
$27.84 |
| 81003 |
|
1,026 |
919 |
$26.28 |
| 90656 |
|
200 |
197 |
$20.02 |
| 90686 |
|
3,422 |
3,305 |
$18.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
80 |
$15.29 |
| 90633 |
|
2,060 |
1,937 |
$0.01 |
| 0011A |
|
15 |
15 |
$0.00 |
| 90696 |
|
293 |
271 |
$0.00 |
| 87081 |
|
84 |
82 |
$0.00 |
| 90723 |
|
2,658 |
2,514 |
$0.00 |
| 90716 |
|
320 |
297 |
$0.00 |
| 0240U |
|
147 |
143 |
$0.00 |
| 82120 |
|
234 |
199 |
$0.00 |
| 90651 |
|
341 |
303 |
$0.00 |
| 90697 |
|
630 |
617 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
136 |
54 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$0.00 |
| 86140 |
|
78 |
75 |
$0.00 |
| 0001A |
|
55 |
54 |
$0.00 |
| 0012A |
|
32 |
31 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
26 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
154 |
150 |
$0.00 |
| 80081 |
|
16 |
16 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 87088 |
|
13 |
12 |
$0.00 |
| 82728 |
|
25 |
25 |
$0.00 |
| 86780 |
|
12 |
12 |
$0.00 |
| 76801 |
|
13 |
13 |
$0.00 |
| 82950 |
|
45 |
41 |
$0.00 |
| 91307 |
|
17 |
14 |
$0.00 |
| 81025 |
|
344 |
304 |
$0.00 |
| 90681 |
|
1,905 |
1,809 |
$0.00 |
| 90700 |
|
408 |
396 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$0.00 |
| 90648 |
|
3,551 |
3,371 |
$0.00 |
| 90671 |
|
904 |
884 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
763 |
597 |
$0.00 |
| 90685 |
|
228 |
204 |
$0.00 |
| 90710 |
|
418 |
397 |
$0.00 |
| 0002A |
|
51 |
51 |
$0.00 |
| 90707 |
|
334 |
309 |
$0.00 |
| 90734 |
|
472 |
423 |
$0.00 |
| 87186 |
|
13 |
12 |
$0.00 |
| 87420 |
|
504 |
414 |
$0.00 |
| 87210 |
|
391 |
350 |
$0.00 |
| 90863 |
|
44 |
40 |
$0.00 |
| 90836 |
|
15 |
14 |
$0.00 |
| 74018 |
|
102 |
99 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
82 |
45 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
29 |
29 |
$0.00 |
| 82947 |
|
29 |
26 |
$0.00 |
| 87631 |
|
14 |
13 |
$0.00 |
| 96381 |
|
14 |
14 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$0.00 |
| 83540 |
|
25 |
25 |
$0.00 |