| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,268 |
18,324 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,844 |
2,802 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,035 |
10,713 |
$60K |
| 92552 |
|
11,756 |
11,710 |
$57K |
| 99461 |
|
711 |
708 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,179 |
1,174 |
$46K |
| 99460 |
|
854 |
846 |
$40K |
| 99462 |
|
1,330 |
864 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,778 |
11,633 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,042 |
4,993 |
$30K |
| G9920 |
Screening performed and negative |
11,781 |
11,751 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,324 |
5,267 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,264 |
4,227 |
$15K |
| 90670 |
|
3,051 |
3,039 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,802 |
5,787 |
$8K |
| 90680 |
|
2,007 |
1,993 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
363 |
$7K |
| 90698 |
|
1,652 |
1,642 |
$6K |
| 90744 |
|
1,229 |
1,221 |
$5K |
| 92081 |
|
9,105 |
9,079 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
526 |
517 |
$3K |
| 0071A |
|
127 |
84 |
$3K |
| 90686 |
|
4,120 |
4,112 |
$3K |
| 0072A |
|
127 |
78 |
$3K |
| 90677 |
|
421 |
421 |
$3K |
| 90651 |
|
3,087 |
3,084 |
$3K |
| 99383 |
|
207 |
204 |
$3K |
| 90697 |
|
1,002 |
1,001 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
541 |
539 |
$2K |
| 90633 |
|
1,739 |
1,734 |
$2K |
| 99381 |
|
162 |
159 |
$2K |
| 90480 |
|
56 |
28 |
$2K |
| 0001A |
|
81 |
63 |
$1K |
| 0002A |
|
59 |
44 |
$1K |
| 99382 |
|
92 |
85 |
$1K |
| 90688 |
|
141 |
139 |
$1K |
| 90710 |
|
829 |
828 |
$1K |
| 90648 |
|
637 |
636 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
254 |
254 |
$738.57 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,173 |
4,163 |
$708.80 |
| 83655 |
|
6,641 |
6,596 |
$690.32 |
| 90716 |
|
604 |
604 |
$619.92 |
| 90700 |
|
537 |
537 |
$610.65 |
| 99384 |
|
25 |
25 |
$589.62 |
| 90707 |
|
553 |
553 |
$557.19 |
| 90734 |
|
867 |
866 |
$556.65 |
| 90715 |
|
757 |
756 |
$474.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
343 |
339 |
$462.37 |
| 90696 |
|
525 |
525 |
$457.56 |
| 90621 |
|
438 |
436 |
$377.46 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
190 |
186 |
$180.00 |
| 90619 |
|
469 |
469 |
$161.10 |
| 90674 |
|
176 |
176 |
$116.55 |
| 90620 |
|
394 |
394 |
$107.55 |
| 81002 |
|
625 |
616 |
$88.87 |
| 90685 |
|
15 |
14 |
$81.00 |
| 90672 |
|
175 |
175 |
$62.91 |
| 90713 |
|
50 |
50 |
$54.00 |
| 90656 |
|
98 |
98 |
$27.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$17.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
448 |
423 |
$10.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,055 |
4,038 |
$8.83 |
| 81003 |
|
76 |
73 |
$6.42 |
| 1036F |
|
1,933 |
1,925 |
$0.00 |
| 96156 |
|
390 |
389 |
$0.00 |
| 91307 |
|
54 |
50 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,922 |
2,914 |
$0.00 |
| 99447 |
|
323 |
313 |
$0.00 |
| 87110 |
|
368 |
366 |
$0.00 |
| 90474 |
|
279 |
276 |
$0.00 |
| 96150 |
|
133 |
130 |
$0.00 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
19 |
19 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| 99446 |
|
41 |
39 |
$0.00 |
| 99173 |
|
490 |
481 |
$0.00 |
| 3725F |
|
81 |
81 |
$0.00 |
| 90473 |
|
134 |
134 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |