| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153,155 |
130,118 |
$8.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,713 |
33,750 |
$2.90M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,016 |
22,307 |
$1.84M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,725 |
18,935 |
$1.65M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23,245 |
20,332 |
$1.62M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46,347 |
41,477 |
$1.50M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14,724 |
12,394 |
$1.07M |
| D0145 |
Oral evaluation for a patient under three years of age |
30,074 |
27,534 |
$886K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,157 |
16,355 |
$414K |
| 87430 |
|
29,274 |
25,264 |
$315K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
9,326 |
8,562 |
$268K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12,122 |
11,291 |
$193K |
| 92551 |
|
19,418 |
17,008 |
$132K |
| D1206 |
Topical application of fluoride varnish |
6,047 |
5,546 |
$129K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,240 |
10,452 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,015 |
3,473 |
$126K |
| 99050 |
|
10,825 |
9,567 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,482 |
1,354 |
$121K |
| 99460 |
|
1,447 |
1,378 |
$118K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,279 |
12,005 |
$101K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,365 |
1,293 |
$84K |
| 83655 |
|
8,099 |
7,220 |
$80K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,688 |
2,458 |
$73K |
| 99173 |
|
33,923 |
29,599 |
$56K |
| 99383 |
|
585 |
537 |
$56K |
| 80061 |
Lipid panel |
5,440 |
4,716 |
$55K |
| 99051 |
|
3,765 |
3,061 |
$51K |
| 96127 |
|
16,816 |
14,021 |
$45K |
| 87807 |
|
4,500 |
3,994 |
$42K |
| 99462 |
|
1,157 |
1,077 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,466 |
5,531 |
$35K |
| 96161 |
|
16,413 |
15,108 |
$33K |
| 96160 |
|
19,348 |
15,783 |
$27K |
| 86780 |
|
2,826 |
2,270 |
$26K |
| 86703 |
|
2,617 |
2,093 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,768 |
2,331 |
$23K |
| 99384 |
|
215 |
189 |
$22K |
| 0001A |
|
660 |
637 |
$21K |
| 0002A |
|
566 |
520 |
$17K |
| 0071A |
|
607 |
554 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,171 |
1,149 |
$15K |
| 99381 |
|
181 |
158 |
$14K |
| 0072A |
|
368 |
364 |
$12K |
| 99382 |
|
77 |
76 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
68 |
$7K |
| 69210 |
|
230 |
199 |
$7K |
| 81002 |
|
2,648 |
2,278 |
$6K |
| 94010 |
|
243 |
217 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
567 |
432 |
$5K |
| 81025 |
|
819 |
670 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
523 |
416 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$4K |
| 99401 |
|
511 |
479 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
231 |
183 |
$3K |
| 86308 |
|
547 |
452 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
216 |
195 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
134 |
126 |
$2K |
| 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) |
1,066 |
984 |
$2K |
| 90480 |
|
48 |
48 |
$1K |
| 82947 |
|
479 |
430 |
$1K |
| 0003A |
|
66 |
49 |
$1K |
| 94664 |
|
105 |
91 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
364 |
326 |
$1K |
| 90619 |
|
834 |
771 |
$199.52 |
| 74018 |
|
14 |
13 |
$187.39 |
| 90461 |
|
27,792 |
26,080 |
$154.15 |
| 80305 |
|
14 |
12 |
$145.32 |
| 0081A |
|
39 |
35 |
$131.64 |
| 90716 |
|
6,521 |
6,055 |
$126.07 |
| 90707 |
|
6,538 |
6,081 |
$73.38 |
| 90686 |
|
18,556 |
16,012 |
$46.33 |
| 90647 |
|
11,455 |
11,007 |
$34.28 |
| 90633 |
|
8,556 |
7,860 |
$16.10 |
| 94760 |
|
27 |
27 |
$4.98 |
| 90670 |
|
14,311 |
13,666 |
$3.71 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$0.19 |
| 3008F |
|
41,829 |
37,432 |
$0.00 |
| 3079F |
|
1,037 |
897 |
$0.00 |
| 36416 |
|
16,668 |
13,954 |
$0.00 |
| 90651 |
|
6,202 |
5,496 |
$0.00 |
| 90723 |
|
7,277 |
7,024 |
$0.00 |
| 90680 |
|
9,850 |
9,548 |
$0.00 |
| 90620 |
|
1,097 |
929 |
$0.00 |
| 3074F |
|
8,599 |
7,509 |
$0.00 |
| 90677 |
|
1,203 |
1,195 |
$0.00 |
| 91307 |
|
855 |
745 |
$0.00 |
| 90696 |
|
1,335 |
1,228 |
$0.00 |
| 1036F |
|
3,876 |
3,337 |
$0.00 |
| 3075F |
|
307 |
267 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
334 |
292 |
$0.00 |
| 90656 |
|
339 |
336 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 3078F |
|
8,250 |
7,232 |
$0.00 |
| 90715 |
|
1,240 |
1,136 |
$0.00 |
| 90734 |
|
3,440 |
3,063 |
$0.00 |
| 90713 |
|
1,558 |
1,499 |
$0.00 |
| 90700 |
|
6,008 |
5,763 |
$0.00 |
| 99072 |
|
5,712 |
5,132 |
$0.00 |
| 3725F |
|
3,423 |
3,096 |
$0.00 |
| 1160F |
|
57,632 |
48,159 |
$0.00 |
| 91300 |
|
1,111 |
1,021 |
$0.00 |
| 90380 |
|
251 |
236 |
$0.00 |
| 90685 |
|
259 |
256 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 91308 |
|
135 |
117 |
$0.00 |