| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,127 |
16,800 |
$1.69M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,956 |
16,143 |
$1.54M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,844 |
10,702 |
$1.08M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,313 |
4,247 |
$470K |
| 90686 |
|
15,208 |
14,928 |
$304K |
| 90791 |
Psychiatric diagnostic evaluation |
2,219 |
2,153 |
$249K |
| 90670 |
|
8,394 |
8,221 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,977 |
46,120 |
$173K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,754 |
2,715 |
$152K |
| 90723 |
|
5,908 |
5,804 |
$118K |
| D0191 |
|
14,381 |
14,290 |
$116K |
| 90647 |
|
5,447 |
5,326 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,851 |
39,080 |
$98K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,912 |
9,093 |
$96K |
| 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) |
10,362 |
9,808 |
$93K |
| 96156 |
|
592 |
521 |
$58K |
| 97802 |
|
550 |
536 |
$51K |
| 96160 |
|
13,964 |
13,690 |
$44K |
| 96127 |
|
7,041 |
6,567 |
$38K |
| 90633 |
|
1,925 |
1,880 |
$38K |
| 90681 |
|
1,745 |
1,699 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
480 |
369 |
$32K |
| 99174 |
|
6,279 |
6,157 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,873 |
2,757 |
$27K |
| 94760 |
|
9,700 |
9,331 |
$23K |
| 90651 |
|
1,081 |
1,056 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
166 |
$22K |
| 90656 |
|
1,089 |
1,081 |
$21K |
| 97803 |
|
295 |
259 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,825 |
1,091 |
$20K |
| 99460 |
|
336 |
261 |
$19K |
| 99173 |
|
6,401 |
6,315 |
$18K |
| 96158 |
|
213 |
161 |
$17K |
| 90677 |
|
835 |
826 |
$16K |
| 99401 |
|
437 |
345 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
894 |
888 |
$13K |
| 0072A |
|
345 |
343 |
$12K |
| 0071A |
|
319 |
319 |
$11K |
| 90734 |
|
497 |
484 |
$10K |
| 99403 |
|
99 |
82 |
$7K |
| 90710 |
|
334 |
327 |
$7K |
| 99188 |
|
528 |
524 |
$6K |
| 96161 |
|
1,643 |
1,456 |
$5K |
| 90696 |
|
233 |
229 |
$5K |
| 99404 |
|
59 |
45 |
$5K |
| 0002A |
|
124 |
124 |
$5K |
| 90688 |
|
207 |
203 |
$4K |
| 90707 |
|
174 |
172 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
31 |
$3K |
| 90672 |
|
156 |
156 |
$3K |
| 36416 |
|
1,134 |
969 |
$3K |
| 90700 |
|
156 |
152 |
$3K |
| 0001A |
|
83 |
82 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
59 |
53 |
$3K |
| 90716 |
|
130 |
129 |
$3K |
| 90715 |
|
122 |
120 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
38 |
$2K |
| 81003 |
|
1,251 |
1,169 |
$2K |
| 90685 |
|
74 |
74 |
$2K |
| 0054A |
|
44 |
42 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$1K |
| 99381 |
|
16 |
12 |
$1K |
| 87428 |
|
74 |
74 |
$1K |
| 91321 |
|
60 |
57 |
$1K |
| 90620 |
|
51 |
50 |
$1K |
| 0112A |
|
24 |
24 |
$846.40 |
| 87807 |
|
97 |
96 |
$759.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$575.00 |
| 0111A |
|
15 |
15 |
$506.52 |
| 90660 |
|
25 |
25 |
$488.32 |
| 0074A |
|
12 |
12 |
$441.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
26 |
$439.66 |
| 90381 |
|
29 |
29 |
$407.52 |
| 99462 |
|
16 |
13 |
$311.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
170 |
$115.95 |
| 36415 |
Collection of venous blood by venipuncture |
704 |
669 |
$83.40 |
| 85018 |
|
26 |
26 |
$39.78 |
| 85014 |
|
26 |
26 |
$39.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
102 |
$35.36 |
| 91307 |
|
914 |
890 |
$0.13 |
| 91308 |
|
26 |
25 |
$0.02 |
| 91311 |
|
50 |
50 |
$0.01 |
| 91305 |
|
60 |
58 |
$0.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
104 |
84 |
$0.00 |
| 99070 |
|
17 |
12 |
$0.00 |
| 91300 |
|
430 |
420 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
616 |
442 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |