| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
223,371 |
191,594 |
$47.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117,347 |
98,759 |
$24.05M |
| T1015 |
Clinic visit/encounter, all-inclusive |
169,793 |
113,574 |
$15.48M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41,451 |
36,399 |
$8.90M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28,907 |
25,581 |
$6.35M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,921 |
24,387 |
$6.18M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19,556 |
17,788 |
$4.48M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,384 |
12,021 |
$2.99M |
| 99215 |
Prolong outpt/office vis |
7,776 |
6,623 |
$1.66M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,914 |
5,104 |
$1.14M |
| 99381 |
|
1,889 |
1,703 |
$382K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,348 |
1,119 |
$306K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,426 |
1,218 |
$283K |
| 99385 |
|
975 |
838 |
$189K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
741 |
670 |
$129K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
604 |
525 |
$129K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
531 |
411 |
$116K |
| 0011A |
|
1,550 |
1,123 |
$52K |
| 99384 |
|
237 |
218 |
$50K |
| 90686 |
|
34,122 |
31,154 |
$45K |
| 0012A |
|
1,140 |
1,079 |
$39K |
| 99383 |
|
195 |
177 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
247 |
223 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
161 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
37 |
$29K |
| W7010 |
|
1,577 |
1,464 |
$24K |
| 90715 |
|
2,181 |
1,906 |
$18K |
| 99386 |
|
87 |
69 |
$18K |
| 99205 |
Prolong outpt/office vis |
81 |
74 |
$16K |
| 81025 |
|
11,967 |
10,455 |
$15K |
| 90670 |
|
16,206 |
14,494 |
$13K |
| 90648 |
|
9,295 |
8,508 |
$11K |
| 90746 |
|
326 |
261 |
$11K |
| 90677 |
|
5,423 |
5,055 |
$11K |
| 90723 |
|
8,091 |
7,401 |
$10K |
| 11721 |
|
107 |
94 |
$7K |
| 59430 |
|
34 |
32 |
$7K |
| 90651 |
|
4,944 |
4,437 |
$7K |
| 99350 |
Prolong home eval add 15m |
88 |
75 |
$7K |
| 90633 |
|
7,735 |
7,079 |
$6K |
| 0503F |
|
165 |
153 |
$6K |
| 3074F |
|
18,219 |
15,732 |
$6K |
| 0124A |
|
211 |
193 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,396 |
6,458 |
$5K |
| 99382 |
|
30 |
25 |
$5K |
| 90716 |
|
1,111 |
990 |
$5K |
| 82962 |
|
15,693 |
12,898 |
$5K |
| 90681 |
|
5,246 |
4,757 |
$5K |
| 0013A |
|
131 |
131 |
$4K |
| 0071A |
|
120 |
110 |
$4K |
| 99496 |
|
69 |
55 |
$4K |
| 80305 |
|
1,817 |
1,452 |
$4K |
| 3008F |
|
14,373 |
12,423 |
$4K |
| 11981 |
|
17 |
12 |
$3K |
| 0001A |
|
121 |
117 |
$3K |
| 90480 |
|
215 |
202 |
$3K |
| 90707 |
|
930 |
830 |
$3K |
| 81003 |
|
12,703 |
10,173 |
$3K |
| 3078F |
|
14,856 |
12,855 |
$3K |
| 0072A |
|
74 |
68 |
$3K |
| 90620 |
|
1,394 |
1,190 |
$3K |
| 11056 |
|
30 |
24 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,847 |
5,750 |
$3K |
| 3015F |
|
1,672 |
1,461 |
$3K |
| 90739 |
|
71 |
64 |
$2K |
| 91320 |
|
119 |
110 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,252 |
1,093 |
$2K |
| 36416 |
|
412 |
357 |
$2K |
| 97802 |
|
21 |
17 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
49 |
$2K |
| 90734 |
|
1,857 |
1,672 |
$2K |
| 0064A |
|
46 |
43 |
$2K |
| 3075F |
|
3,781 |
3,318 |
$2K |
| 90688 |
|
1,936 |
1,623 |
$2K |
| 0134A |
|
125 |
120 |
$1K |
| 99495 |
|
25 |
24 |
$1K |
| 90713 |
|
645 |
573 |
$1K |
| 90697 |
|
7,681 |
6,827 |
$1K |
| 91322 |
|
55 |
51 |
$1K |
| 3044F |
|
671 |
594 |
$1K |
| 3079F |
|
7,364 |
6,470 |
$897.44 |
| 90674 |
|
1,484 |
1,290 |
$894.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,367 |
1,252 |
$846.27 |
| 59025 |
Fetal non-stress test |
33 |
26 |
$840.87 |
| 90710 |
|
650 |
608 |
$753.15 |
| 90832 |
Psychotherapy, 30 minutes with patient |
84 |
58 |
$739.14 |
| 99344 |
|
13 |
13 |
$675.09 |
| 90656 |
|
3,785 |
3,755 |
$652.74 |
| 0054A |
|
21 |
19 |
$640.00 |
| 90700 |
|
579 |
541 |
$628.86 |
| 0111A |
|
17 |
16 |
$600.00 |
| 96127 |
|
3,417 |
2,850 |
$481.10 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,780 |
1,588 |
$481.00 |
| G8482 |
Influenza immunization administered or previously received |
182 |
169 |
$474.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,735 |
655 |
$389.11 |
| 90632 |
|
14 |
12 |
$388.44 |
| 87210 |
|
2,076 |
1,656 |
$301.32 |
| 90619 |
|
898 |
825 |
$256.38 |
| 90647 |
|
1,670 |
1,536 |
$256.08 |
| 90714 |
|
70 |
66 |
$237.75 |
| 90680 |
|
1,592 |
1,355 |
$186.24 |
| 90750 |
|
17 |
14 |
$165.16 |
| 91321 |
|
121 |
116 |
$145.92 |
| 3014F |
|
452 |
398 |
$140.00 |
| 90696 |
|
356 |
324 |
$116.40 |
| 92551 |
|
687 |
654 |
$101.06 |
| 93000 |
|
72 |
53 |
$76.72 |
| 99406 |
|
41 |
32 |
$49.95 |
| 92229 |
|
158 |
144 |
$40.00 |
| 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) |
311 |
284 |
$33.64 |
| 81002 |
|
456 |
349 |
$31.65 |
| 90380 |
|
24 |
18 |
$23.27 |
| 99173 |
|
542 |
521 |
$21.54 |
| 3046F |
|
22 |
13 |
$20.00 |
| 3051F |
|
12 |
12 |
$20.00 |
| 96381 |
|
25 |
25 |
$16.63 |
| 0502F |
|
1,627 |
1,200 |
$3.00 |
| 99499 |
|
317 |
273 |
$0.00 |
| 1159F |
|
8,491 |
7,037 |
$0.00 |
| 90661 |
|
1,101 |
1,096 |
$0.00 |
| 2022F |
|
71 |
68 |
$0.00 |
| 1160F |
|
5,506 |
4,668 |
$0.00 |
| 0004A |
|
23 |
22 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
213 |
$0.00 |
| 3062F |
|
39 |
37 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
311 |
105 |
$0.00 |
| 3077F |
|
210 |
187 |
$0.00 |
| 3288F |
|
41 |
40 |
$0.00 |
| 90461 |
|
174 |
145 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
31 |
31 |
$0.00 |
| 82948 |
|
38 |
32 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$0.00 |
| 86703 |
|
18 |
16 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
12 |
$0.00 |
| 99442 |
|
14 |
13 |
$0.00 |
| 85610 |
|
14 |
12 |
$0.00 |
| 91301 |
|
1,226 |
1,159 |
$0.00 |
| 1125F |
|
5,550 |
4,707 |
$0.00 |
| 1126F |
|
4,734 |
3,966 |
$0.00 |
| 1111F |
|
644 |
509 |
$0.00 |
| 3080F |
|
181 |
167 |
$0.00 |
| 3017F |
|
1,095 |
965 |
$0.00 |
| 2023F |
|
300 |
278 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
218 |
178 |
$0.00 |
| 3072F |
|
253 |
220 |
$0.00 |
| 82044 |
|
286 |
235 |
$0.00 |
| 2033F |
|
178 |
166 |
$0.00 |
| 0501F |
|
45 |
41 |
$0.00 |
| 90744 |
|
173 |
139 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
41 |
$0.00 |
| 1000F |
|
59 |
49 |
$0.00 |
| 3060F |
|
39 |
37 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$0.00 |
| 91305 |
|
23 |
22 |
$0.00 |
| 1036F |
|
23 |
20 |
$0.00 |
| 90381 |
|
28 |
27 |
$0.00 |
| 0500F |
|
21 |
20 |
$0.00 |
| 97750 |
|
14 |
14 |
$0.00 |