| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,949 |
53,494 |
$7.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,607 |
56,918 |
$5.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,828 |
14,644 |
$1.49M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40,649 |
40,240 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,458 |
11,432 |
$1.25M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,134 |
10,102 |
$1.11M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,588 |
5,514 |
$653K |
| 92587 |
|
24,804 |
24,645 |
$628K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13,304 |
13,071 |
$560K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32,255 |
17,517 |
$461K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39,231 |
38,258 |
$382K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,474 |
9,344 |
$280K |
| 90461 |
|
13,193 |
13,072 |
$192K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,579 |
20,298 |
$182K |
| 92551 |
|
16,417 |
16,398 |
$168K |
| 99215 |
Prolong outpt/office vis |
769 |
733 |
$142K |
| 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) |
7,924 |
7,479 |
$120K |
| 83655 |
|
8,126 |
8,111 |
$99K |
| 90671 |
|
953 |
953 |
$88K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,241 |
13,145 |
$74K |
| 99051 |
|
16,174 |
15,824 |
$59K |
| 81000 |
|
16,104 |
15,846 |
$59K |
| 87070 |
|
7,686 |
7,585 |
$51K |
| 99173 |
|
11,134 |
11,085 |
$49K |
| 92552 |
|
1,485 |
1,484 |
$48K |
| 86580 |
|
4,808 |
4,790 |
$41K |
| 99354 |
|
1,046 |
938 |
$39K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,815 |
4,814 |
$38K |
| 87276 |
|
2,072 |
2,037 |
$30K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,626 |
1,625 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
461 |
$25K |
| 87275 |
|
2,055 |
2,023 |
$24K |
| 0001A |
|
533 |
533 |
$19K |
| 90677 |
|
309 |
308 |
$19K |
| 0002A |
|
450 |
450 |
$17K |
| 0071A |
|
407 |
406 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
15,440 |
15,282 |
$16K |
| 99406 |
|
6,399 |
6,370 |
$16K |
| 0072A |
|
378 |
377 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
120 |
$14K |
| 90619 |
|
437 |
437 |
$14K |
| G9920 |
Screening performed and negative |
1,011 |
1,002 |
$13K |
| 81002 |
|
5,352 |
5,255 |
$10K |
| 96127 |
|
4,268 |
4,254 |
$7K |
| 99417 |
Prolong home eval add 15m |
268 |
253 |
$7K |
| 99441 |
|
225 |
209 |
$6K |
| 90670 |
|
5,128 |
5,090 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
846 |
846 |
$5K |
| 99177 |
|
4,396 |
4,387 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
36 |
$5K |
| 90686 |
|
10,349 |
10,243 |
$3K |
| 95930 |
|
40 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |
| 96160 |
|
4,122 |
4,098 |
$2K |
| 85014 |
|
1,206 |
1,186 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
371 |
339 |
$2K |
| 90661 |
|
1,113 |
1,113 |
$2K |
| 99072 |
|
17,106 |
16,243 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
365 |
355 |
$1K |
| 90648 |
|
6,685 |
6,640 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| 99050 |
|
130 |
129 |
$1K |
| 97802 |
|
413 |
393 |
$1K |
| 90680 |
|
4,192 |
4,174 |
$890.40 |
| 94760 |
|
17,624 |
16,982 |
$883.06 |
| 90651 |
|
1,050 |
1,044 |
$813.71 |
| 90716 |
|
2,321 |
2,308 |
$690.02 |
| 0012A |
|
15 |
15 |
$591.07 |
| 90700 |
|
8,528 |
8,456 |
$542.30 |
| 90633 |
|
2,650 |
2,633 |
$529.80 |
| 0054A |
|
12 |
12 |
$478.12 |
| 90715 |
|
332 |
331 |
$372.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$314.22 |
| 90713 |
|
6,777 |
6,728 |
$286.35 |
| 90620 |
|
14 |
14 |
$268.35 |
| 87081 |
|
975 |
923 |
$261.70 |
| 99402 |
|
14 |
13 |
$251.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$243.42 |
| 90707 |
|
2,223 |
2,212 |
$235.35 |
| 90744 |
|
2,679 |
2,664 |
$232.17 |
| 94664 |
|
53 |
52 |
$223.65 |
| 99484 |
|
17 |
17 |
$175.83 |
| S9083 |
Global fee urgent care centers |
2,683 |
2,515 |
$155.01 |
| 87077 |
|
5,584 |
5,515 |
$117.87 |
| 90734 |
|
362 |
359 |
$92.98 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
25 |
25 |
$51.23 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
25 |
25 |
$2.19 |
| 91307 |
|
401 |
392 |
$2.16 |
| 99000 |
|
778 |
763 |
$0.00 |
| 91301 |
|
34 |
29 |
$0.00 |
| D1310 |
|
61 |
61 |
$0.00 |
| D1330 |
|
61 |
61 |
$0.00 |
| 94761 |
|
25 |
25 |
$0.00 |
| 90685 |
|
383 |
382 |
$0.00 |
| 91300 |
|
299 |
289 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |