| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,805 |
16,909 |
$2.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,235 |
11,158 |
$1.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,679 |
3,795 |
$402K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13,538 |
11,414 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,000 |
3,544 |
$381K |
| 99215 |
Prolong outpt/office vis |
2,332 |
1,954 |
$366K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,533 |
5,572 |
$305K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,932 |
2,630 |
$274K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,821 |
1,630 |
$169K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,964 |
8,363 |
$77K |
| 92551 |
|
7,760 |
6,964 |
$67K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,729 |
1,502 |
$59K |
| 90648 |
|
2,882 |
2,560 |
$58K |
| 90677 |
|
686 |
616 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,730 |
2,401 |
$55K |
| 94760 |
|
33,310 |
25,727 |
$54K |
| 90670 |
|
2,327 |
2,033 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,156 |
3,682 |
$41K |
| 99381 |
|
506 |
416 |
$40K |
| 90723 |
|
2,011 |
1,769 |
$40K |
| 90633 |
|
1,363 |
1,203 |
$28K |
| 90681 |
|
1,098 |
984 |
$22K |
| 99050 |
|
1,747 |
1,440 |
$20K |
| 99173 |
|
8,204 |
7,338 |
$19K |
| 90686 |
|
971 |
829 |
$18K |
| 90734 |
|
722 |
633 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
603 |
528 |
$14K |
| 90685 |
|
719 |
654 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
446 |
358 |
$7K |
| 90716 |
|
304 |
262 |
$7K |
| 90710 |
|
294 |
266 |
$6K |
| 90649 |
|
360 |
318 |
$5K |
| 90707 |
|
246 |
208 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,905 |
1,557 |
$5K |
| 90620 |
|
252 |
215 |
$5K |
| 90715 |
|
233 |
211 |
$5K |
| 2015F |
|
886 |
764 |
$4K |
| 90696 |
|
182 |
162 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
27 |
$3K |
| 99072 |
|
19,825 |
15,162 |
$3K |
| 99051 |
|
318 |
272 |
$2K |
| 90700 |
|
101 |
97 |
$2K |
| 99383 |
|
16 |
16 |
$2K |
| 99382 |
|
14 |
14 |
$2K |
| 90651 |
|
79 |
69 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,350 |
2,056 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
89 |
$1K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
6,221 |
5,277 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
114 |
98 |
$733.21 |
| 99000 |
|
6,250 |
5,323 |
$665.85 |
| H0049 |
Alcohol and/or drug screening |
128 |
121 |
$496.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,436 |
1,262 |
$432.47 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
112 |
97 |
$414.34 |
| 94761 |
|
95 |
85 |
$266.42 |
| 81002 |
|
77 |
68 |
$171.38 |
| 36416 |
|
2,447 |
1,991 |
$148.00 |
| 99080 |
|
47 |
42 |
$100.00 |
| 99071 |
|
7,209 |
6,192 |
$36.28 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$36.00 |
| INVCD |
|
20 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
46 |
$0.00 |