| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,911 |
48,393 |
$1.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,805 |
20,082 |
$1.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,867 |
9,755 |
$1.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,485 |
9,867 |
$1.08M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,376 |
8,334 |
$993K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,485 |
4,450 |
$570K |
| 90686 |
|
12,450 |
12,162 |
$265K |
| 99051 |
|
11,761 |
11,322 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,427 |
6,687 |
$90K |
| 90670 |
|
3,989 |
3,971 |
$88K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
556 |
538 |
$73K |
| 99173 |
|
21,832 |
21,625 |
$65K |
| 96127 |
|
9,867 |
7,858 |
$57K |
| 90647 |
|
2,675 |
2,642 |
$55K |
| 90723 |
|
2,614 |
2,573 |
$53K |
| 90680 |
|
1,528 |
1,504 |
$31K |
| 99215 |
Prolong outpt/office vis |
185 |
174 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
364 |
337 |
$29K |
| 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) |
2,650 |
2,580 |
$27K |
| 90671 |
|
957 |
910 |
$19K |
| 87430 |
|
1,456 |
1,440 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
730 |
708 |
$16K |
| 90651 |
|
759 |
751 |
$15K |
| 0072A |
|
389 |
388 |
$14K |
| 90633 |
|
644 |
641 |
$13K |
| 96161 |
|
4,186 |
4,125 |
$13K |
| 0071A |
|
328 |
327 |
$12K |
| 0002A |
|
287 |
287 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
83 |
81 |
$10K |
| 96160 |
|
4,849 |
4,792 |
$9K |
| 99177 |
|
3,306 |
3,285 |
$9K |
| 90677 |
|
483 |
480 |
$8K |
| 90656 |
|
465 |
459 |
$8K |
| 0001A |
|
221 |
220 |
$8K |
| 99188 |
|
558 |
554 |
$7K |
| 90734 |
|
312 |
311 |
$7K |
| 99404 |
|
50 |
49 |
$6K |
| D0191 |
|
447 |
446 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
82 |
80 |
$5K |
| 87081 |
|
857 |
847 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
218 |
217 |
$4K |
| 99381 |
|
45 |
41 |
$4K |
| 99174 |
|
606 |
586 |
$3K |
| 90480 |
|
77 |
76 |
$2K |
| 96152 |
|
77 |
76 |
$2K |
| 0124A |
|
52 |
52 |
$2K |
| 90461 |
|
2,308 |
2,108 |
$1K |
| 98968 |
|
33 |
29 |
$1K |
| 90715 |
|
53 |
53 |
$1K |
| 0004A |
|
27 |
27 |
$993.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,748 |
4,032 |
$816.81 |
| 83655 |
|
94 |
94 |
$785.12 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
34 |
32 |
$704.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
69 |
$682.25 |
| 0112A |
|
17 |
17 |
$555.20 |
| 91319 |
|
40 |
39 |
$540.65 |
| 0111A |
|
14 |
14 |
$515.20 |
| 94760 |
|
127 |
118 |
$319.19 |
| 90710 |
|
13 |
13 |
$262.60 |
| 90707 |
|
13 |
13 |
$251.16 |
| 90716 |
|
13 |
13 |
$251.16 |
| 90696 |
|
12 |
12 |
$244.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$200.33 |
| 80061 |
Lipid panel |
16 |
16 |
$190.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$190.58 |
| 85018 |
|
111 |
111 |
$175.51 |
| 91320 |
|
14 |
14 |
$132.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
143 |
134 |
$124.82 |
| 81002 |
|
37 |
37 |
$97.24 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$92.04 |
| 87070 |
|
13 |
12 |
$59.73 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
601 |
594 |
$25.56 |
| 36416 |
|
29 |
28 |
$19.70 |
| 99441 |
|
57 |
54 |
$17.51 |
| 92551 |
|
63 |
63 |
$16.36 |
| 91307 |
|
873 |
838 |
$0.19 |
| 91311 |
|
51 |
51 |
$0.01 |
| 91300 |
|
634 |
588 |
$0.00 |
| 91312 |
|
52 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
16 |
16 |
$0.00 |