| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189,206 |
181,776 |
$12.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,800 |
55,037 |
$5.35M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37,274 |
36,839 |
$3.70M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37,481 |
36,571 |
$3.50M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94,047 |
92,063 |
$3.00M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22,710 |
22,335 |
$2.21M |
| 90461 |
|
32,799 |
31,886 |
$1.24M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,219 |
9,973 |
$1.09M |
| G9153 |
Mapcp demonstration - physician incentive pool |
18,974 |
18,760 |
$818K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,952 |
11,560 |
$571K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,602 |
4,430 |
$418K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25,694 |
25,099 |
$339K |
| 99051 |
|
28,005 |
27,260 |
$318K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,915 |
9,693 |
$262K |
| 96161 |
|
33,426 |
32,828 |
$241K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
9,697 |
9,430 |
$191K |
| 96127 |
|
26,515 |
25,904 |
$177K |
| 99460 |
|
1,542 |
1,475 |
$135K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,240 |
1,176 |
$125K |
| 83655 |
|
9,583 |
9,502 |
$121K |
| 87428 |
|
1,621 |
1,608 |
$96K |
| 90791 |
Psychiatric diagnostic evaluation |
648 |
610 |
$93K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,948 |
2,858 |
$82K |
| 87400 |
|
4,053 |
3,041 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,701 |
7,596 |
$55K |
| 85018 |
|
20,487 |
20,204 |
$49K |
| 99381 |
|
333 |
316 |
$34K |
| 90651 |
|
2,626 |
2,519 |
$33K |
| 82465 |
|
4,647 |
4,531 |
$17K |
| 99462 |
|
327 |
285 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$8K |
| 0072A |
|
185 |
185 |
$7K |
| 87807 |
|
569 |
561 |
$7K |
| 0071A |
|
169 |
167 |
$7K |
| 90670 |
|
14,164 |
13,885 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
110 |
94 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
399 |
386 |
$4K |
| 99383 |
|
40 |
38 |
$4K |
| 88720 |
|
1,016 |
896 |
$4K |
| 99188 |
|
241 |
239 |
$4K |
| 94664 |
|
278 |
277 |
$3K |
| 90677 |
|
3,200 |
3,152 |
$3K |
| 81002 |
|
1,005 |
981 |
$3K |
| 90686 |
|
13,454 |
13,142 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
30 |
26 |
$2K |
| 90723 |
|
11,737 |
11,468 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$1K |
| 90680 |
|
8,522 |
8,325 |
$1K |
| 96380 |
|
64 |
59 |
$1K |
| 54150 |
|
13 |
12 |
$1K |
| 90380 |
|
13 |
13 |
$1K |
| 87634 |
|
16 |
16 |
$897.52 |
| 90716 |
|
2,737 |
2,720 |
$500.65 |
| 90707 |
|
2,559 |
2,543 |
$490.26 |
| 0001A |
|
16 |
16 |
$467.85 |
| 81003 |
|
132 |
127 |
$270.12 |
| 90647 |
|
11,070 |
10,832 |
$268.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
204 |
201 |
$255.67 |
| 90633 |
|
7,287 |
7,176 |
$181.25 |
| 82947 |
|
42 |
42 |
$130.72 |
| 90715 |
|
807 |
775 |
$120.63 |
| 90696 |
|
889 |
884 |
$52.27 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,966 |
5,828 |
$14.69 |
| 90620 |
|
198 |
196 |
$0.00 |
| 90656 |
|
773 |
765 |
$0.00 |
| 99072 |
|
21,083 |
19,705 |
$0.00 |
| 90681 |
|
117 |
116 |
$0.00 |
| 90700 |
|
786 |
777 |
$0.00 |
| 90734 |
|
1,772 |
1,725 |
$0.00 |
| 90648 |
|
166 |
163 |
$0.00 |