| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,913 |
15,039 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,738 |
19,565 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,317 |
5,266 |
$713K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,722 |
4,228 |
$572K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,655 |
3,604 |
$489K |
| 96160 |
|
13,975 |
12,209 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
871 |
854 |
$127K |
| 90686 |
|
5,201 |
5,149 |
$96K |
| 99072 |
|
26,775 |
25,251 |
$78K |
| 96154 |
|
1,338 |
1,299 |
$75K |
| D0191 |
|
3,699 |
3,673 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,244 |
3,914 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,567 |
1,535 |
$44K |
| 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) |
2,812 |
2,691 |
$36K |
| 96127 |
|
2,908 |
1,868 |
$33K |
| 90670 |
|
1,384 |
1,358 |
$28K |
| 99173 |
|
3,667 |
3,618 |
$23K |
| 90698 |
|
842 |
817 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
226 |
161 |
$17K |
| 96167 |
|
296 |
275 |
$14K |
| 96161 |
|
762 |
662 |
$12K |
| 0071A |
|
321 |
300 |
$12K |
| 0072A |
|
288 |
288 |
$11K |
| 90680 |
|
521 |
509 |
$11K |
| 90656 |
|
423 |
423 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
937 |
448 |
$9K |
| 90744 |
|
344 |
338 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
661 |
603 |
$7K |
| D1206 |
Topical application of fluoride varnish |
441 |
440 |
$7K |
| 90685 |
|
297 |
295 |
$6K |
| 94760 |
|
3,039 |
2,897 |
$6K |
| 90633 |
|
240 |
237 |
$5K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 99489 |
Ccm add 20min |
40 |
40 |
$4K |
| 0002A |
|
105 |
102 |
$4K |
| 90651 |
|
167 |
165 |
$4K |
| 99487 |
Ccm add 20min |
60 |
60 |
$3K |
| 90688 |
|
147 |
147 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
31 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,139 |
1,090 |
$3K |
| 0001A |
|
59 |
59 |
$2K |
| 0154A |
|
53 |
53 |
$2K |
| 0074A |
|
59 |
58 |
$2K |
| 90734 |
|
92 |
92 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 99382 |
|
12 |
12 |
$2K |
| 99381 |
|
14 |
13 |
$2K |
| 90696 |
|
62 |
61 |
$1K |
| 90710 |
|
61 |
60 |
$1K |
| 0054A |
|
37 |
35 |
$1K |
| 90715 |
|
56 |
56 |
$1K |
| 0082A |
|
29 |
28 |
$1K |
| 0081A |
|
27 |
27 |
$1K |
| 36416 |
|
609 |
539 |
$1K |
| 90707 |
|
45 |
45 |
$988.20 |
| 90700 |
|
44 |
44 |
$966.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$919.75 |
| 99460 |
|
12 |
12 |
$888.17 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
87 |
74 |
$864.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$862.50 |
| 90687 |
|
40 |
39 |
$856.44 |
| 91319 |
|
33 |
33 |
$724.68 |
| 90648 |
|
32 |
32 |
$702.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
93 |
$657.86 |
| 90716 |
|
27 |
27 |
$592.92 |
| 0083A |
|
13 |
13 |
$520.00 |
| 99401 |
|
12 |
12 |
$501.10 |
| 91320 |
|
15 |
15 |
$438.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
30 |
$426.50 |
| 87807 |
|
50 |
50 |
$416.32 |
| 99441 |
|
12 |
12 |
$365.63 |
| 90619 |
|
16 |
16 |
$329.40 |
| 90832 |
Psychotherapy, 30 minutes with patient |
357 |
353 |
$322.20 |
| 90677 |
|
14 |
14 |
$285.48 |
| 91318 |
|
13 |
13 |
$285.48 |
| 90697 |
|
12 |
12 |
$263.52 |
| 83655 |
|
28 |
28 |
$254.38 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
16 |
13 |
$224.84 |
| S9981 |
Medical records copying fee, administrative |
12 |
12 |
$218.70 |
| 88720 |
|
50 |
39 |
$187.11 |
| 81002 |
|
107 |
102 |
$165.11 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
30 |
$31.72 |
| 99000 |
|
4,705 |
4,404 |
$27.43 |
| 85018 |
|
12 |
12 |
$21.60 |
| 99051 |
|
2,127 |
2,023 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
30 |
$4.31 |
| 99070 |
|
244 |
243 |
$0.00 |
| 1005F |
|
28 |
28 |
$0.00 |