| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,930 |
43,221 |
$1.92M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,700 |
15,778 |
$736K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,847 |
8,651 |
$544K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,209 |
5,688 |
$430K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,571 |
12,483 |
$422K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,263 |
2,698 |
$371K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,385 |
3,987 |
$298K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,622 |
3,220 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,320 |
1,168 |
$97K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,984 |
1,888 |
$92K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,062 |
996 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,437 |
2,303 |
$66K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,208 |
1,105 |
$61K |
| 95117 |
|
4,155 |
2,211 |
$46K |
| 92551 |
|
5,194 |
4,751 |
$41K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
353 |
323 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
992 |
857 |
$28K |
| 99173 |
|
4,368 |
3,932 |
$19K |
| 96160 |
|
2,841 |
2,357 |
$18K |
| 99177 |
|
3,227 |
2,937 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,175 |
1,047 |
$15K |
| 96127 |
|
2,774 |
2,384 |
$12K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
44 |
42 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
45 |
42 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
127 |
110 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
719 |
660 |
$6K |
| 80061 |
Lipid panel |
502 |
461 |
$5K |
| 85018 |
|
2,333 |
2,183 |
$5K |
| 99460 |
|
80 |
76 |
$4K |
| 36416 |
|
3,897 |
3,378 |
$4K |
| 90686 |
|
3,646 |
3,379 |
$4K |
| 17110 |
|
53 |
50 |
$3K |
| 90670 |
|
1,584 |
1,463 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$2K |
| 92567 |
|
197 |
158 |
$2K |
| 90677 |
|
116 |
99 |
$1K |
| 90698 |
|
712 |
672 |
$672.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
43 |
$668.23 |
| 92587 |
|
27 |
24 |
$641.32 |
| 83655 |
|
77 |
56 |
$539.55 |
| 90651 |
|
47 |
38 |
$538.16 |
| 0072A |
|
13 |
13 |
$520.00 |
| 96161 |
|
68 |
65 |
$459.75 |
| 90480 |
|
12 |
12 |
$437.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$415.10 |
| 90688 |
|
563 |
525 |
$388.27 |
| 36415 |
Collection of venous blood by venipuncture |
345 |
303 |
$317.75 |
| 90680 |
|
465 |
436 |
$299.85 |
| 81002 |
|
183 |
146 |
$291.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$246.68 |
| 90658 |
|
341 |
233 |
$199.19 |
| 90656 |
|
266 |
185 |
$174.91 |
| 90734 |
|
13 |
12 |
$165.61 |
| 3008F |
|
232 |
219 |
$140.00 |
| 90744 |
|
149 |
134 |
$118.87 |
| 80076 |
|
26 |
26 |
$64.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$35.66 |
| 90633 |
|
112 |
98 |
$33.32 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
13 |
$23.52 |
| 90661 |
|
18 |
14 |
$0.03 |
| 90619 |
|
28 |
25 |
$0.03 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
11,415 |
10,334 |
$0.00 |
| 90685 |
|
28 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
28 |
26 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,907 |
13,569 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
39 |
$0.00 |
| 3351F |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$0.00 |