| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,706 |
31,571 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,139 |
27,255 |
$1.07M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,693 |
9,392 |
$733K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,995 |
8,384 |
$645K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,517 |
19,282 |
$503K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,458 |
3,343 |
$163K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,779 |
1,713 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,634 |
1,587 |
$130K |
| 76830 |
Ultrasound, transvaginal |
1,283 |
1,232 |
$112K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,638 |
9,220 |
$98K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,054 |
990 |
$81K |
| 81002 |
|
28,422 |
20,974 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
810 |
764 |
$51K |
| 90461 |
|
12,482 |
10,554 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
474 |
465 |
$46K |
| S8301 |
Infection control supplies, not otherwise specified |
3,117 |
2,855 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,334 |
1,283 |
$37K |
| 87634 |
|
605 |
591 |
$34K |
| 99429 |
|
889 |
856 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
331 |
324 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
38 |
37 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
245 |
$21K |
| 83655 |
|
1,892 |
1,807 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
284 |
257 |
$17K |
| 81025 |
|
2,044 |
1,970 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
180 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
677 |
645 |
$7K |
| 0071A |
|
136 |
136 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
99 |
96 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
160 |
$4K |
| 99215 |
Prolong outpt/office vis |
78 |
67 |
$4K |
| 99381 |
|
74 |
66 |
$4K |
| CP002 |
|
434 |
391 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
480 |
423 |
$4K |
| 90756 |
|
164 |
162 |
$4K |
| 99235 |
|
25 |
24 |
$3K |
| 90715 |
|
118 |
114 |
$3K |
| 99385 |
|
39 |
37 |
$3K |
| 92551 |
|
1,707 |
1,632 |
$2K |
| 59430 |
|
27 |
27 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
31 |
27 |
$2K |
| 0072A |
|
28 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$745.02 |
| 88720 |
|
291 |
168 |
$743.26 |
| 96160 |
|
3,016 |
2,564 |
$669.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
50 |
$574.50 |
| 90658 |
|
39 |
39 |
$548.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
51 |
$545.73 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$501.16 |
| 87807 |
|
36 |
36 |
$374.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$351.74 |
| 96380 |
|
12 |
12 |
$229.08 |
| 85014 |
|
111 |
108 |
$182.09 |
| 80061 |
Lipid panel |
13 |
13 |
$146.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$106.12 |
| 99173 |
|
3,381 |
3,253 |
$89.66 |
| 99000 |
|
13 |
13 |
$65.00 |
| 92552 |
|
14 |
13 |
$55.00 |
| 85018 |
|
103 |
97 |
$42.45 |
| 82947 |
|
13 |
13 |
$39.60 |
| 90686 |
|
5,825 |
5,682 |
$18.88 |
| 96161 |
|
172 |
147 |
$18.00 |
| 36416 |
|
3,284 |
3,086 |
$6.05 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$1.23 |
| 90680 |
|
1,983 |
1,857 |
$0.13 |
| 90670 |
|
4,828 |
4,655 |
$0.10 |
| 90671 |
|
1,973 |
1,823 |
$0.08 |
| 90656 |
|
582 |
579 |
$0.06 |
| 90648 |
|
4,501 |
4,354 |
$0.06 |
| 90723 |
|
3,115 |
3,022 |
$0.03 |
| 90697 |
|
1,153 |
1,038 |
$0.02 |
| 90633 |
|
1,429 |
1,379 |
$0.02 |
| 90716 |
|
620 |
603 |
$0.01 |
| 90707 |
|
753 |
711 |
$0.01 |
| 96127 |
|
88 |
88 |
$0.00 |
| 90647 |
|
98 |
94 |
$0.00 |
| 90696 |
|
30 |
28 |
$0.00 |
| 99459 |
|
196 |
193 |
$0.00 |
| 90651 |
|
29 |
27 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90681 |
|
692 |
671 |
$0.00 |
| 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) |
1,067 |
1,001 |
$0.00 |
| 99188 |
|
43 |
42 |
$0.00 |
| G9920 |
Screening performed and negative |
95 |
90 |
$0.00 |
| 0502F |
|
14 |
12 |
$0.00 |
| 90700 |
|
86 |
78 |
$0.00 |
| 99177 |
|
29 |
29 |
$0.00 |
| 90672 |
|
24 |
24 |
$0.00 |