| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,040 |
51,135 |
$4.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,492 |
7,713 |
$961K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,806 |
5,521 |
$688K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,032 |
4,796 |
$625K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,139 |
4,777 |
$602K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,669 |
4,471 |
$578K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44,322 |
26,715 |
$538K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,459 |
14,690 |
$318K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,447 |
6,082 |
$301K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,732 |
1,489 |
$214K |
| 96127 |
|
9,298 |
8,870 |
$184K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,367 |
5,161 |
$179K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,866 |
21,577 |
$151K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,834 |
11,927 |
$132K |
| 92551 |
|
16,727 |
15,854 |
$96K |
| 99174 |
|
4,946 |
4,724 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,531 |
3,536 |
$78K |
| 82465 |
|
17,214 |
16,260 |
$63K |
| 87400 |
|
5,951 |
2,683 |
$59K |
| 81000 |
|
17,966 |
16,899 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,050 |
965 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
346 |
327 |
$43K |
| 99188 |
|
1,171 |
1,153 |
$28K |
| 87070 |
|
3,667 |
3,154 |
$22K |
| 92567 |
|
700 |
646 |
$9K |
| D0145 |
Oral evaluation for a patient under three years of age |
404 |
342 |
$9K |
| 90686 |
|
10,913 |
10,394 |
$8K |
| 90620 |
|
298 |
278 |
$8K |
| D1206 |
Topical application of fluoride varnish |
392 |
330 |
$7K |
| 94760 |
|
4,124 |
3,511 |
$6K |
| 90651 |
|
572 |
537 |
$6K |
| 83655 |
|
409 |
393 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
51 |
28 |
$4K |
| 87420 |
|
390 |
333 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,074 |
1,043 |
$4K |
| 96132 |
|
33 |
26 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
113 |
34 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 90734 |
|
510 |
464 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
12 |
$2K |
| 0071A |
|
78 |
73 |
$2K |
| 96118 |
|
13 |
12 |
$1K |
| 36416 |
|
383 |
363 |
$1K |
| 99051 |
|
165 |
160 |
$1K |
| 0072A |
|
53 |
48 |
$987.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
96 |
$777.00 |
| 90715 |
|
116 |
104 |
$572.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
45 |
44 |
$338.47 |
| 95012 |
|
14 |
13 |
$174.30 |
| 90670 |
|
2,308 |
2,180 |
$135.23 |
| 90633 |
|
1,008 |
939 |
$68.83 |
| 90744 |
|
331 |
322 |
$56.91 |
| 90685 |
|
321 |
309 |
$0.01 |
| 90698 |
|
1,825 |
1,755 |
$0.01 |
| 90461 |
|
5,204 |
4,432 |
$0.00 |
| 87999 |
|
2,550 |
2,284 |
$0.00 |
| 90671 |
|
326 |
323 |
$0.00 |
| 90672 |
|
23 |
22 |
$0.00 |
| 90681 |
|
117 |
116 |
$0.00 |
| 90710 |
|
153 |
146 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
24 |
24 |
$0.00 |
| 90619 |
|
169 |
157 |
$0.00 |
| 91307 |
|
184 |
124 |
$0.00 |