| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,592 |
17,492 |
$2.40M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,571 |
8,223 |
$1.25M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,780 |
3,475 |
$513K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,304 |
3,106 |
$408K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,179 |
3,435 |
$402K |
| 59426 |
|
2,662 |
1,432 |
$397K |
| 59425 |
|
2,101 |
1,539 |
$301K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,603 |
1,495 |
$243K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,875 |
4,593 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
760 |
731 |
$119K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,866 |
5,344 |
$80K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,797 |
2,493 |
$80K |
| 99381 |
|
485 |
463 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
463 |
425 |
$63K |
| 92551 |
|
2,000 |
1,866 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
146 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,222 |
2,740 |
$7K |
| 96127 |
|
1,064 |
1,022 |
$4K |
| 96161 |
|
2,728 |
2,573 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
759 |
720 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
93 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
21 |
$3K |
| 90670 |
|
2,826 |
2,740 |
$3K |
| 99173 |
|
1,913 |
1,773 |
$2K |
| 98940 |
|
891 |
210 |
$2K |
| 90697 |
|
715 |
597 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
123 |
110 |
$1K |
| 81025 |
|
1,478 |
1,322 |
$1K |
| 99441 |
|
37 |
32 |
$923.67 |
| 90686 |
|
3,921 |
3,630 |
$729.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$376.10 |
| 81002 |
|
2,743 |
2,390 |
$198.61 |
| 90715 |
|
274 |
238 |
$193.70 |
| 90723 |
|
1,664 |
1,631 |
$185.73 |
| 0072A |
|
14 |
13 |
$161.42 |
| 0011A |
|
34 |
27 |
$133.76 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$96.00 |
| 0012A |
|
42 |
39 |
$86.87 |
| 3074F |
|
17,633 |
13,918 |
$35.60 |
| 90680 |
|
2,130 |
2,005 |
$29.18 |
| 90648 |
|
725 |
698 |
$28.68 |
| 90633 |
|
1,529 |
1,476 |
$10.05 |
| 90685 |
|
60 |
57 |
$9.56 |
| 90671 |
|
405 |
298 |
$0.88 |
| 90710 |
|
111 |
56 |
$0.06 |
| 3078F |
|
16,045 |
12,825 |
$0.03 |
| 3077F |
|
2,949 |
2,519 |
$0.01 |
| 3075F |
|
2,490 |
2,178 |
$0.00 |
| 3079F |
|
5,420 |
4,535 |
$0.00 |
| 90480 |
|
29 |
22 |
$0.00 |
| 3080F |
|
1,595 |
1,328 |
$0.00 |
| 85018 |
|
543 |
480 |
$0.00 |
| 90647 |
|
941 |
930 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
50 |
40 |
$0.00 |
| 90716 |
|
131 |
119 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
249 |
232 |
$0.00 |
| 87807 |
|
19 |
13 |
$0.00 |
| 90651 |
|
212 |
193 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
185 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
66 |
$0.00 |
| 0081A |
|
22 |
20 |
$0.00 |
| 90696 |
|
85 |
32 |
$0.00 |
| 90656 |
|
129 |
127 |
$0.00 |
| 97014 |
|
65 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$0.00 |
| 90619 |
|
14 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 90707 |
|
237 |
222 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,080 |
921 |
$0.00 |
| 87400 |
|
596 |
521 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
160 |
$0.00 |
| 90700 |
|
139 |
131 |
$0.00 |
| 86756 |
|
235 |
221 |
$0.00 |
| 96160 |
|
403 |
385 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 90734 |
|
29 |
28 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
201 |
152 |
$0.00 |
| 90473 |
|
16 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
29 |
$0.00 |