| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,667 |
80,071 |
$6.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,615 |
50,009 |
$5.39M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,631 |
18,571 |
$843K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,496 |
5,795 |
$568K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,914 |
3,729 |
$540K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,865 |
5,319 |
$505K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,047 |
4,504 |
$453K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
7,654 |
5,846 |
$382K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
8,490 |
3,895 |
$268K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,208 |
12,969 |
$252K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,416 |
6,085 |
$208K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,497 |
3,311 |
$206K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,892 |
1,444 |
$181K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,853 |
2,190 |
$132K |
| 99215 |
Prolong outpt/office vis |
1,141 |
892 |
$124K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,807 |
6,404 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,098 |
995 |
$110K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,183 |
719 |
$108K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,387 |
2,095 |
$88K |
| 90686 |
|
14,895 |
12,910 |
$74K |
| 90834 |
Psychotherapy, 45 minutes with patient |
815 |
558 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,356 |
1,263 |
$52K |
| 90670 |
|
2,983 |
2,768 |
$49K |
| 90461 |
|
9,291 |
8,443 |
$43K |
| 99051 |
|
14,246 |
12,213 |
$34K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,302 |
3,082 |
$33K |
| 99173 |
|
3,463 |
3,074 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
11,120 |
8,496 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
225 |
186 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,679 |
1,438 |
$15K |
| 99000 |
|
7,402 |
6,236 |
$13K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
94 |
91 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
129 |
122 |
$12K |
| 97803 |
|
208 |
202 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
112 |
$9K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
144 |
104 |
$8K |
| 80053 |
Comprehensive metabolic panel |
690 |
627 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
156 |
77 |
$7K |
| 92523 |
|
39 |
39 |
$6K |
| 97802 |
|
68 |
51 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
178 |
119 |
$5K |
| 90723 |
|
1,159 |
1,097 |
$5K |
| 99070 |
|
1,442 |
1,413 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
53 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
632 |
570 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
120 |
102 |
$4K |
| D0190 |
|
251 |
240 |
$4K |
| 90710 |
|
155 |
138 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
235 |
$4K |
| 90651 |
|
191 |
173 |
$3K |
| 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) |
3,607 |
3,369 |
$3K |
| 97161 |
|
148 |
105 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$3K |
| 80061 |
Lipid panel |
277 |
248 |
$3K |
| D1206 |
Topical application of fluoride varnish |
182 |
174 |
$3K |
| 97162 |
|
76 |
59 |
$3K |
| 90681 |
|
209 |
200 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
39 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
159 |
147 |
$2K |
| 90648 |
|
2,250 |
2,103 |
$2K |
| 99460 |
|
26 |
24 |
$2K |
| 90734 |
|
98 |
93 |
$1K |
| 99177 |
|
77 |
76 |
$1K |
| 81003 |
|
557 |
399 |
$954.81 |
| 98928 |
|
28 |
24 |
$950.44 |
| 84439 |
|
92 |
87 |
$740.76 |
| 90633 |
|
268 |
246 |
$732.00 |
| 87650 |
|
40 |
38 |
$728.30 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
14 |
$712.40 |
| 0012A |
|
16 |
14 |
$535.34 |
| 90715 |
|
72 |
66 |
$341.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
15 |
$211.55 |
| 84481 |
|
13 |
12 |
$209.59 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$156.00 |
| 99318 |
|
21 |
15 |
$129.35 |
| 94760 |
|
763 |
670 |
$107.08 |
| 90688 |
|
267 |
196 |
$106.76 |
| 36416 |
|
27 |
26 |
$72.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$62.06 |
| 96127 |
|
14 |
12 |
$58.14 |
| 90700 |
|
14 |
13 |
$54.00 |
| 81002 |
|
14 |
13 |
$43.81 |
| 96160 |
|
15 |
15 |
$3.34 |
| 3078F |
|
1,297 |
1,226 |
$0.00 |
| 1159F |
|
194 |
191 |
$0.00 |
| 99072 |
|
85 |
80 |
$0.00 |
| 3077F |
|
97 |
96 |
$0.00 |
| 3074F |
|
1,928 |
1,825 |
$0.00 |
| 3017F |
|
369 |
340 |
$0.00 |
| 3075F |
|
133 |
126 |
$0.00 |
| 3080F |
|
72 |
71 |
$0.00 |
| 3014F |
|
32 |
29 |
$0.00 |
| 3044F |
|
38 |
37 |
$0.00 |
| 3079F |
|
519 |
500 |
$0.00 |
| 90696 |
|
47 |
43 |
$0.00 |