| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,471 |
22,621 |
$1.74M |
| 99215 |
Prolong outpt/office vis |
7,017 |
5,907 |
$790K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,160 |
1,907 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,556 |
3,971 |
$200K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,088 |
1,935 |
$171K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,793 |
1,591 |
$143K |
| 80305 |
|
4,360 |
3,942 |
$48K |
| 96127 |
|
6,121 |
5,490 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
469 |
409 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,125 |
1,884 |
$35K |
| 99406 |
|
3,111 |
2,494 |
$30K |
| 94060 |
|
790 |
715 |
$27K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
227 |
202 |
$25K |
| 90686 |
|
1,478 |
1,340 |
$22K |
| 93000 |
|
1,211 |
1,129 |
$22K |
| A4550 |
Surgical trays |
595 |
529 |
$15K |
| 99401 |
|
1,191 |
1,023 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
363 |
333 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
364 |
334 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
363 |
332 |
$10K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
422 |
356 |
$9K |
| 90670 |
|
52 |
51 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
67 |
36 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
63 |
58 |
$8K |
| 95012 |
|
682 |
619 |
$8K |
| 90682 |
|
223 |
177 |
$8K |
| 81003 |
|
3,609 |
3,219 |
$7K |
| 20610 |
|
131 |
123 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
259 |
107 |
$6K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
462 |
396 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
105 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,275 |
1,137 |
$5K |
| 90715 |
|
95 |
92 |
$4K |
| H0049 |
Alcohol and/or drug screening |
483 |
411 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
191 |
86 |
$3K |
| 20553 |
|
81 |
70 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
105 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
199 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
527 |
437 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
205 |
174 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
57 |
$2K |
| 82270 |
|
539 |
507 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
77 |
48 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
52 |
28 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
96 |
$1K |
| 97161 |
|
17 |
12 |
$756.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
25 |
$552.75 |
| 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) |
129 |
108 |
$249.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
30 |
$185.86 |
| 99000 |
|
910 |
790 |
$102.28 |
| 81025 |
|
15 |
13 |
$90.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
179 |
147 |
$86.00 |
| 99072 |
|
168 |
162 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
65 |
60 |
$0.00 |
| 1034F |
|
21 |
13 |
$0.00 |
| 1000F |
|
24 |
16 |
$0.00 |