| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,847 |
19,414 |
$2.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,371 |
5,742 |
$979K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,731 |
3,311 |
$542K |
| 99000 |
|
4,629 |
4,335 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,804 |
1,664 |
$200K |
| 99215 |
Prolong outpt/office vis |
1,203 |
1,105 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,404 |
1,347 |
$168K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,616 |
5,388 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
824 |
783 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
732 |
712 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
773 |
754 |
$101K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,103 |
947 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,309 |
2,191 |
$80K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,582 |
2,519 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
521 |
499 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
391 |
371 |
$60K |
| 99205 |
Prolong outpt/office vis |
387 |
378 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
325 |
285 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,402 |
1,370 |
$32K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,092 |
1,017 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,094 |
945 |
$25K |
| 99173 |
|
727 |
713 |
$23K |
| 90461 |
|
448 |
350 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
86 |
81 |
$16K |
| 90686 |
|
1,648 |
1,544 |
$12K |
| 96127 |
|
678 |
636 |
$11K |
| 92551 |
|
532 |
522 |
$11K |
| 99024 |
|
91 |
81 |
$8K |
| 87807 |
|
298 |
287 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
53 |
$7K |
| 3044F |
|
230 |
227 |
$7K |
| 99381 |
|
40 |
39 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
605 |
565 |
$5K |
| 81002 |
|
371 |
346 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
76 |
71 |
$3K |
| 81000 |
|
426 |
396 |
$3K |
| 87430 |
|
125 |
120 |
$3K |
| 1126F |
|
265 |
265 |
$3K |
| 90656 |
|
183 |
181 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
73 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
12 |
12 |
$2K |
| 81025 |
|
126 |
116 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
168 |
$2K |
| 1125F |
|
97 |
97 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$2K |
| 1160F |
|
497 |
484 |
$2K |
| 90473 |
|
101 |
100 |
$1K |
| 99384 |
|
14 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
29 |
29 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90715 |
|
77 |
75 |
$1K |
| 96161 |
|
236 |
215 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
698 |
298 |
$879.01 |
| 90480 |
|
65 |
65 |
$752.87 |
| 85018 |
|
19 |
19 |
$683.76 |
| V5008 |
Hearing screening |
23 |
20 |
$552.08 |
| 86769 |
|
13 |
13 |
$505.56 |
| 94760 |
|
48 |
48 |
$472.45 |
| 1159F |
|
426 |
415 |
$376.90 |
| 92552 |
|
12 |
12 |
$260.00 |
| 96160 |
|
40 |
36 |
$67.48 |
| 82962 |
|
16 |
13 |
$43.98 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$35.00 |