| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,683 |
29,359 |
$1.87M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,996 |
3,955 |
$470K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,653 |
3,614 |
$377K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,631 |
2,587 |
$304K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,428 |
2,401 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,368 |
3,182 |
$256K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,833 |
8,760 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,799 |
8,650 |
$83K |
| 97802 |
|
6,874 |
6,718 |
$76K |
| 92587 |
|
5,114 |
5,053 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
418 |
414 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,448 |
3,284 |
$37K |
| 90461 |
|
4,524 |
4,162 |
$31K |
| 86580 |
|
8,590 |
8,467 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,618 |
1,578 |
$27K |
| 99188 |
|
3,910 |
3,855 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,108 |
3,846 |
$17K |
| 99490 |
Ccm add 20min |
435 |
411 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
874 |
806 |
$15K |
| 90671 |
|
99 |
93 |
$11K |
| 90697 |
|
512 |
454 |
$10K |
| 90670 |
|
1,742 |
1,710 |
$9K |
| 87807 |
|
1,143 |
1,079 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
189 |
184 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,062 |
5,459 |
$4K |
| 99381 |
|
25 |
24 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
835 |
797 |
$2K |
| 90715 |
|
322 |
319 |
$2K |
| 94667 |
|
240 |
225 |
$793.35 |
| 99442 |
|
13 |
13 |
$442.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
644 |
617 |
$318.16 |
| 90651 |
|
1,262 |
1,253 |
$310.00 |
| 90716 |
|
263 |
259 |
$303.40 |
| 90619 |
|
95 |
94 |
$201.99 |
| 90686 |
|
1,409 |
1,396 |
$200.00 |
| 92550 |
|
111 |
102 |
$101.44 |
| 90633 |
|
1,143 |
1,121 |
$73.60 |
| 90647 |
|
1,271 |
1,234 |
$72.01 |
| 99401 |
|
44 |
43 |
$56.96 |
| 90723 |
|
835 |
818 |
$48.00 |
| 99177 |
|
9,674 |
8,203 |
$35.88 |
| 90700 |
|
311 |
309 |
$32.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
198 |
192 |
$31.46 |
| 92567 |
|
61 |
58 |
$30.69 |
| S9451 |
Exercise classes, non-physician provider, per session |
9,504 |
8,058 |
$10.00 |
| 81002 |
|
28 |
27 |
$4.18 |
| 90680 |
|
1,257 |
1,234 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,032 |
3,973 |
$0.00 |
| 90620 |
|
470 |
462 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
832 |
711 |
$0.00 |
| 90696 |
|
186 |
183 |
$0.00 |
| 90677 |
|
204 |
185 |
$0.00 |
| 90744 |
|
16 |
15 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$0.00 |
| 92558 |
|
51 |
51 |
$0.00 |
| 90734 |
|
657 |
648 |
$0.00 |
| 90710 |
|
221 |
219 |
$0.00 |
| 99173 |
|
122 |
120 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90707 |
|
217 |
216 |
$0.00 |
| 90681 |
|
17 |
16 |
$0.00 |