| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124,898 |
112,362 |
$4.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,937 |
52,317 |
$2.69M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12,064 |
11,232 |
$1.11M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12,654 |
11,987 |
$506K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,588 |
8,119 |
$384K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,476 |
1,519 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,476 |
2,326 |
$176K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,614 |
3,476 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,302 |
2,037 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,393 |
2,071 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,983 |
1,755 |
$147K |
| 36415 |
Collection of venous blood by venipuncture |
42,709 |
38,052 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,605 |
6,200 |
$92K |
| 80050 |
General health panel |
2,080 |
1,963 |
$90K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,673 |
11,280 |
$76K |
| 87634 |
|
1,028 |
955 |
$71K |
| 96127 |
|
1,890 |
1,739 |
$71K |
| 90834 |
Psychotherapy, 45 minutes with patient |
801 |
359 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
732 |
678 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
540 |
518 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,036 |
4,761 |
$37K |
| 90686 |
|
3,677 |
3,127 |
$36K |
| 80061 |
Lipid panel |
2,621 |
2,442 |
$33K |
| 80053 |
Comprehensive metabolic panel |
3,858 |
3,445 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
308 |
290 |
$26K |
| 90461 |
|
1,034 |
988 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
158 |
149 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,373 |
2,201 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
305 |
278 |
$14K |
| 90688 |
|
550 |
534 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
512 |
480 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
249 |
225 |
$12K |
| 99215 |
Prolong outpt/office vis |
172 |
153 |
$10K |
| 87081 |
|
1,415 |
1,349 |
$10K |
| 69210 |
|
245 |
234 |
$10K |
| 81003 |
|
3,692 |
3,330 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
308 |
302 |
$8K |
| 96112 |
|
97 |
82 |
$8K |
| 87631 |
|
56 |
53 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
174 |
$6K |
| 90651 |
|
289 |
246 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
710 |
634 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
537 |
522 |
$4K |
| 84439 |
|
656 |
594 |
$4K |
| 90785 |
|
720 |
396 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
562 |
490 |
$3K |
| 90734 |
|
252 |
198 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
45 |
42 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
968 |
833 |
$3K |
| 96130 |
|
87 |
72 |
$3K |
| 95251 |
|
77 |
76 |
$3K |
| 99442 |
|
87 |
79 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$3K |
| 90656 |
|
820 |
814 |
$3K |
| W0037 |
|
901 |
901 |
$3K |
| 99188 |
|
212 |
164 |
$2K |
| 85018 |
|
855 |
775 |
$2K |
| 90671 |
|
1,255 |
1,064 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
117 |
95 |
$2K |
| 83655 |
|
165 |
135 |
$2K |
| 90620 |
|
75 |
62 |
$2K |
| 99460 |
|
25 |
24 |
$2K |
| 87807 |
|
122 |
112 |
$2K |
| 99000 |
|
1,058 |
1,002 |
$2K |
| 96136 |
|
105 |
93 |
$2K |
| 90647 |
|
998 |
846 |
$1K |
| 0012A |
|
36 |
35 |
$1K |
| 90723 |
|
1,011 |
852 |
$1K |
| 90633 |
|
575 |
478 |
$1K |
| 81001 |
|
428 |
384 |
$1K |
| 90680 |
|
897 |
758 |
$1K |
| 0011A |
|
38 |
37 |
$785.45 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$762.28 |
| 90710 |
|
35 |
27 |
$751.02 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$727.18 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$698.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$604.95 |
| 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) |
258 |
227 |
$574.87 |
| 0001A |
|
13 |
12 |
$480.00 |
| 90670 |
|
108 |
81 |
$344.63 |
| 93000 |
|
14 |
12 |
$259.26 |
| 96161 |
|
39 |
35 |
$250.45 |
| 99490 |
Ccm add 20min |
17 |
12 |
$240.93 |
| 82607 |
|
12 |
12 |
$220.32 |
| 81025 |
|
31 |
26 |
$192.05 |
| 90716 |
|
121 |
104 |
$180.40 |
| 90696 |
|
34 |
26 |
$176.40 |
| 82728 |
|
12 |
12 |
$168.43 |
| 99318 |
|
14 |
14 |
$154.71 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
16 |
$150.19 |
| 90715 |
|
42 |
38 |
$149.93 |
| 36416 |
|
290 |
266 |
$121.88 |
| 90648 |
|
24 |
24 |
$101.80 |
| 90707 |
|
110 |
93 |
$101.12 |
| 85014 |
|
30 |
30 |
$88.19 |
| 84460 |
|
13 |
13 |
$61.08 |
| 84450 |
|
13 |
13 |
$59.58 |
| 90700 |
|
55 |
55 |
$39.64 |
| 90662 |
|
68 |
56 |
$38.64 |
| 90474 |
|
12 |
12 |
$6.86 |
| G0008 |
Administration of influenza virus vaccine |
149 |
123 |
$5.09 |
| 91300 |
|
62 |
58 |
$0.00 |
| 3044F |
|
42 |
39 |
$0.00 |
| 91301 |
|
69 |
67 |
$0.00 |
| 99406 |
|
15 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$0.00 |