| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,414 |
26,079 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,701 |
13,456 |
$1.20M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,786 |
7,198 |
$493K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,418 |
5,945 |
$389K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
990 |
859 |
$136K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,481 |
12,532 |
$120K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,459 |
2,268 |
$98K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,535 |
4,583 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,333 |
984 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,321 |
1,077 |
$70K |
| 90670 |
|
8,474 |
6,760 |
$69K |
| Q3014 |
Telehealth originating site facility fee |
3,603 |
3,280 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,236 |
1,833 |
$54K |
| 90698 |
|
6,189 |
4,907 |
$50K |
| 90680 |
|
5,592 |
4,437 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,012 |
2,686 |
$36K |
| 87807 |
|
3,196 |
2,907 |
$32K |
| 90744 |
|
3,902 |
3,112 |
$31K |
| 99381 |
|
637 |
433 |
$28K |
| 90633 |
|
3,480 |
2,769 |
$28K |
| 90686 |
|
2,770 |
2,078 |
$26K |
| 99173 |
|
6,169 |
4,639 |
$21K |
| 92551 |
|
5,151 |
3,866 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
405 |
389 |
$16K |
| 83655 |
|
1,521 |
1,086 |
$15K |
| 99243 |
|
120 |
95 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
120 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
324 |
$6K |
| 90716 |
|
799 |
619 |
$6K |
| 90707 |
|
793 |
616 |
$6K |
| 90688 |
|
479 |
430 |
$6K |
| 90647 |
|
758 |
560 |
$6K |
| 90700 |
|
664 |
529 |
$5K |
| 96127 |
|
1,727 |
1,353 |
$4K |
| 31720 |
|
93 |
82 |
$4K |
| 90672 |
|
380 |
255 |
$4K |
| 90461 |
|
85 |
67 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
652 |
488 |
$2K |
| 90734 |
|
56 |
37 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
79 |
26 |
$2K |
| 92567 |
|
160 |
117 |
$2K |
| 99460 |
|
30 |
29 |
$1K |
| 90710 |
|
274 |
193 |
$1K |
| 90674 |
|
128 |
118 |
$1K |
| 90651 |
|
162 |
117 |
$1K |
| 0001A |
|
41 |
41 |
$1K |
| 0002A |
|
36 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
108 |
$1K |
| 69210 |
|
42 |
25 |
$990.00 |
| 36415 |
Collection of venous blood by venipuncture |
721 |
515 |
$950.00 |
| 90696 |
|
147 |
122 |
$912.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
45 |
$900.57 |
| 99461 |
|
19 |
16 |
$780.00 |
| 99383 |
|
16 |
12 |
$770.00 |
| 71046 |
Radiologic examination, chest; 2 views |
61 |
49 |
$694.76 |
| 90723 |
|
70 |
48 |
$368.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
29 |
$279.00 |
| 85018 |
|
1,782 |
1,318 |
$257.63 |
| 90620 |
|
26 |
26 |
$200.00 |
| 81002 |
|
45 |
39 |
$105.00 |
| 90648 |
|
13 |
13 |
$104.00 |
| 82962 |
|
159 |
96 |
$54.00 |
| 3008F |
|
18,018 |
15,092 |
$0.00 |
| 1036F |
|
16,527 |
13,529 |
$0.00 |
| 1126F |
|
1,842 |
1,408 |
$0.00 |
| 3074F |
|
11,479 |
9,592 |
$0.00 |
| 2010F |
|
245 |
148 |
$0.00 |
| 99000 |
|
102 |
89 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
21 |
21 |
$0.00 |
| 99318 |
|
36 |
24 |
$0.00 |
| 3079F |
|
66 |
53 |
$0.00 |
| 1125F |
|
15 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
33 |
19 |
$0.00 |
| 1160F |
|
24,115 |
19,688 |
$0.00 |
| 1159F |
|
19,927 |
15,987 |
$0.00 |
| 3078F |
|
10,718 |
8,998 |
$0.00 |
| 3725F |
|
608 |
442 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
20 |
13 |
$0.00 |