| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94,476 |
80,537 |
$955K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,846 |
28,128 |
$451K |
| 3008F |
|
55,627 |
48,122 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,608 |
4,467 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,844 |
4,647 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,988 |
3,833 |
$109K |
| 99441 |
|
11,631 |
10,459 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,916 |
1,842 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,934 |
1,858 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,976 |
4,571 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,334 |
12,735 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,370 |
3,031 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,011 |
962 |
$30K |
| 88164 |
|
1,988 |
1,893 |
$25K |
| 3078F |
|
36,676 |
32,881 |
$20K |
| 86580 |
|
3,065 |
2,849 |
$19K |
| 99385 |
|
551 |
548 |
$16K |
| 76830 |
Ultrasound, transvaginal |
703 |
628 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
267 |
244 |
$9K |
| 1159F |
|
16,040 |
14,086 |
$8K |
| 3079F |
|
12,719 |
11,641 |
$8K |
| 82948 |
|
4,402 |
3,718 |
$7K |
| 90686 |
|
1,103 |
1,084 |
$6K |
| 3074F |
|
39,245 |
35,078 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
138 |
119 |
$6K |
| 90651 |
|
795 |
736 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
343 |
341 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,897 |
975 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,076 |
1,005 |
$4K |
| 99348 |
|
381 |
354 |
$4K |
| 90670 |
|
736 |
728 |
$3K |
| 99386 |
|
121 |
120 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,357 |
771 |
$2K |
| 99384 |
|
132 |
132 |
$2K |
| 90633 |
|
292 |
287 |
$2K |
| 99173 |
|
512 |
502 |
$2K |
| 99383 |
|
97 |
76 |
$2K |
| 99201 |
|
158 |
152 |
$2K |
| 87490 |
|
1,390 |
1,356 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,628 |
1,557 |
$2K |
| 87070 |
|
846 |
831 |
$2K |
| 90461 |
|
5,045 |
4,331 |
$2K |
| 92015 |
Determination of refractive state |
359 |
273 |
$2K |
| 90734 |
|
568 |
541 |
$1K |
| 1160F |
|
15,299 |
13,373 |
$1K |
| 90620 |
|
148 |
140 |
$1K |
| 90698 |
|
39 |
39 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
206 |
191 |
$1K |
| 94664 |
|
172 |
165 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
57 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
330 |
311 |
$1K |
| 90619 |
|
41 |
41 |
$998.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
132 |
$890.26 |
| 87590 |
|
1,341 |
1,307 |
$857.41 |
| 99349 |
|
33 |
31 |
$831.35 |
| 3075F |
|
6,956 |
6,350 |
$809.57 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
999 |
848 |
$681.20 |
| 99499 |
|
93 |
84 |
$668.33 |
| 99382 |
|
31 |
31 |
$497.99 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
86 |
63 |
$483.47 |
| 90715 |
|
138 |
136 |
$475.77 |
| 1157F |
|
7,895 |
6,740 |
$447.77 |
| 90647 |
|
110 |
110 |
$380.11 |
| 93000 |
|
196 |
185 |
$379.27 |
| 99397 |
|
12 |
12 |
$345.73 |
| 3048F |
|
2,073 |
1,919 |
$279.48 |
| 0071A |
|
12 |
12 |
$275.66 |
| 81025 |
|
69 |
56 |
$253.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
67 |
$250.57 |
| 90723 |
|
25 |
25 |
$230.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
187 |
162 |
$222.13 |
| 81002 |
|
28 |
27 |
$194.38 |
| 3044F |
|
3,310 |
3,085 |
$142.19 |
| 4010F |
|
1,224 |
1,105 |
$125.97 |
| 90696 |
|
29 |
29 |
$119.44 |
| 94760 |
|
25 |
25 |
$113.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
13 |
$77.18 |
| 3077F |
|
964 |
857 |
$75.66 |
| 3046F |
|
39 |
38 |
$63.05 |
| 1158F |
|
1,710 |
1,529 |
$37.83 |
| 90621 |
|
12 |
12 |
$37.83 |
| 3049F |
|
448 |
413 |
$28.34 |
| 1126F |
|
75 |
68 |
$25.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
90 |
88 |
$23.28 |
| 90710 |
|
94 |
94 |
$21.81 |
| 1111F |
|
79 |
64 |
$12.61 |
| 3080F |
|
381 |
336 |
$12.61 |
| 3060F |
|
13 |
12 |
$12.61 |
| 99406 |
|
14 |
13 |
$0.00 |
| 91307 |
|
27 |
26 |
$0.00 |
| 1170F |
|
34 |
31 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 3050F |
|
259 |
247 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
169 |
147 |
$0.00 |
| 3288F |
|
15 |
14 |
$0.00 |
| 91300 |
|
16 |
15 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |