| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,084 |
84,751 |
$5.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,145 |
44,028 |
$3.77M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22,177 |
21,930 |
$1.88M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16,882 |
16,706 |
$1.29M |
| 99385 |
|
6,217 |
6,147 |
$575K |
| 99386 |
|
4,330 |
4,292 |
$475K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,671 |
4,634 |
$358K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,816 |
4,790 |
$332K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,879 |
7,582 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,001 |
2,980 |
$212K |
| 99384 |
|
2,041 |
2,030 |
$196K |
| 99441 |
|
5,120 |
4,757 |
$192K |
| 99383 |
|
1,846 |
1,835 |
$162K |
| 36415 |
Collection of venous blood by venipuncture |
60,077 |
57,983 |
$141K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,927 |
13,979 |
$134K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,931 |
13,748 |
$126K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,567 |
6,509 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,619 |
1,568 |
$107K |
| 99382 |
|
1,125 |
1,119 |
$98K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,600 |
4,529 |
$89K |
| 96127 |
|
28,208 |
28,125 |
$79K |
| 81025 |
|
11,352 |
11,027 |
$69K |
| 99442 |
|
1,102 |
1,084 |
$60K |
| 96160 |
|
15,956 |
15,742 |
$59K |
| 90732 |
|
561 |
550 |
$57K |
| 90674 |
|
2,213 |
2,171 |
$57K |
| 82947 |
|
16,274 |
15,488 |
$42K |
| 90686 |
|
2,238 |
2,223 |
$32K |
| 99215 |
Prolong outpt/office vis |
236 |
232 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
422 |
416 |
$25K |
| 81002 |
|
11,593 |
11,264 |
$25K |
| 99381 |
|
275 |
275 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,409 |
1,314 |
$20K |
| 99406 |
|
2,621 |
2,404 |
$20K |
| 93000 |
|
2,541 |
2,505 |
$20K |
| 80305 |
|
2,356 |
2,280 |
$18K |
| 90756 |
|
568 |
567 |
$14K |
| 86580 |
|
2,088 |
1,990 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
976 |
976 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
1,171 |
1,164 |
$9K |
| 69209 |
|
783 |
758 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,998 |
4,646 |
$8K |
| 90661 |
|
275 |
274 |
$8K |
| 92551 |
|
624 |
606 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
322 |
299 |
$4K |
| 90658 |
|
277 |
259 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
698 |
682 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,013 |
1,872 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
515 |
488 |
$2K |
| 99459 |
|
116 |
115 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
211 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,282 |
1,257 |
$873.47 |
| 90715 |
|
1,425 |
1,416 |
$746.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,461 |
2,347 |
$696.23 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,212 |
3,160 |
$651.45 |
| 83014 |
|
97 |
94 |
$518.69 |
| 90670 |
|
1,402 |
1,398 |
$511.44 |
| 94760 |
|
1,770 |
1,646 |
$491.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
41 |
$405.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,285 |
1,261 |
$313.56 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$232.46 |
| 90651 |
|
2,661 |
2,638 |
$229.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$223.14 |
| 90474 |
|
55 |
55 |
$160.80 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$147.59 |
| 82962 |
|
67 |
63 |
$136.29 |
| 82948 |
|
1,837 |
1,649 |
$104.70 |
| 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 |
13 |
13 |
$64.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$54.95 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
16 |
16 |
$16.28 |
| 3078F |
|
82,791 |
76,228 |
$0.08 |
| 3074F |
|
100,355 |
91,645 |
$0.06 |
| 3077F |
|
41,968 |
38,854 |
$0.04 |
| 3079F |
|
56,925 |
53,285 |
$0.02 |
| 3080F |
|
31,616 |
29,481 |
$0.01 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
26,596 |
23,769 |
$0.00 |
| 3075F |
|
28,867 |
27,560 |
$0.00 |
| 90716 |
|
1,787 |
1,777 |
$0.00 |
| 1126F |
|
477 |
472 |
$0.00 |
| 3008F |
|
163,516 |
144,794 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
43,796 |
40,734 |
$0.00 |
| 3044F |
|
6,760 |
6,585 |
$0.00 |
| 1170F |
|
785 |
779 |
$0.00 |
| 1036F |
|
172 |
163 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,791 |
1,766 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
500 |
500 |
$0.00 |
| 1101F |
|
618 |
613 |
$0.00 |
| 90647 |
|
1,253 |
1,250 |
$0.00 |
| 90723 |
|
902 |
898 |
$0.00 |
| 90619 |
|
419 |
419 |
$0.00 |
| 90620 |
|
432 |
431 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| 1034F |
|
309 |
291 |
$0.00 |
| 3052F |
|
38 |
38 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| 90681 |
|
43 |
43 |
$0.00 |
| 90700 |
|
1,696 |
1,687 |
$0.00 |
| 90633 |
|
1,663 |
1,655 |
$0.00 |
| 1090F |
|
905 |
899 |
$0.00 |
| 90713 |
|
1,462 |
1,454 |
$0.00 |
| 1159F |
|
1,790 |
1,699 |
$0.00 |
| 90734 |
|
1,965 |
1,940 |
$0.00 |
| 90707 |
|
1,760 |
1,752 |
$0.00 |
| 3045F |
|
650 |
617 |
$0.00 |
| 3046F |
|
1,030 |
991 |
$0.00 |
| 1160F |
|
5,360 |
4,984 |
$0.00 |
| 99173 |
|
106 |
105 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |
| 3051F |
|
57 |
57 |
$0.00 |
| 90671 |
|
49 |
49 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
424 |
422 |
$0.00 |
| 3725F |
|
114 |
114 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
45 |
45 |
$0.00 |