| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,546 |
13,218 |
$1.37M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,798 |
2,691 |
$326K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,851 |
2,758 |
$317K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,635 |
4,222 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,282 |
2,198 |
$268K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,811 |
1,645 |
$189K |
| Q3014 |
Telehealth originating site facility fee |
3,753 |
3,334 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
596 |
579 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,470 |
1,342 |
$56K |
| 92551 |
|
5,386 |
5,139 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,204 |
4,594 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,798 |
4,988 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
241 |
$30K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,782 |
1,742 |
$22K |
| 0001A |
|
545 |
522 |
$21K |
| 0002A |
|
374 |
363 |
$15K |
| 96127 |
|
3,138 |
2,972 |
$13K |
| 0071A |
|
345 |
321 |
$12K |
| 99051 |
|
1,403 |
1,272 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
699 |
678 |
$9K |
| 99050 |
|
343 |
322 |
$9K |
| 90461 |
|
2,266 |
1,698 |
$8K |
| 90686 |
|
2,413 |
2,277 |
$8K |
| 0072A |
|
208 |
197 |
$8K |
| 99188 |
|
373 |
353 |
$8K |
| 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) |
532 |
453 |
$7K |
| 99173 |
|
4,701 |
4,444 |
$6K |
| S9470 |
Nutritional counseling, dietitian visit |
2,209 |
2,113 |
$6K |
| 96160 |
|
2,664 |
2,497 |
$6K |
| 99499 |
|
180 |
173 |
$5K |
| 90698 |
|
957 |
935 |
$4K |
| 90670 |
|
910 |
885 |
$3K |
| 90651 |
|
896 |
874 |
$3K |
| 99381 |
|
33 |
29 |
$3K |
| 90734 |
|
643 |
605 |
$3K |
| 90680 |
|
536 |
512 |
$2K |
| 99177 |
|
276 |
262 |
$2K |
| 90480 |
|
78 |
77 |
$2K |
| 96161 |
|
887 |
711 |
$2K |
| 90633 |
|
485 |
483 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99382 |
|
13 |
13 |
$2K |
| 90715 |
|
278 |
276 |
$1K |
| 99080 |
|
50 |
50 |
$1K |
| 90744 |
|
398 |
386 |
$1K |
| 90656 |
|
195 |
193 |
$1K |
| 90710 |
|
295 |
292 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
48 |
$1K |
| 0012A |
|
50 |
47 |
$969.00 |
| 90619 |
|
311 |
311 |
$968.26 |
| 0004A |
|
36 |
22 |
$884.00 |
| 90696 |
|
164 |
164 |
$652.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
45 |
$575.86 |
| 90677 |
|
154 |
146 |
$449.58 |
| 99072 |
|
11,065 |
9,419 |
$371.34 |
| 36415 |
Collection of venous blood by venipuncture |
2,370 |
2,154 |
$336.00 |
| 90620 |
|
1,029 |
740 |
$212.70 |
| 91319 |
|
12 |
12 |
$126.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
52 |
$120.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
6,377 |
5,975 |
$112.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
59 |
$107.28 |
| 90697 |
|
60 |
52 |
$99.26 |
| G9920 |
Screening performed and negative |
89 |
81 |
$1.80 |
| 87070 |
|
670 |
617 |
$0.00 |
| 91307 |
|
483 |
397 |
$0.00 |
| 91300 |
|
775 |
650 |
$0.00 |
| 91312 |
|
16 |
14 |
$0.00 |