| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96,907 |
85,903 |
$6.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137,944 |
125,789 |
$5.87M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30,341 |
26,377 |
$1.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,725 |
24,190 |
$1.59M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
4,071 |
921 |
$1.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17,496 |
16,574 |
$1.06M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57,698 |
54,318 |
$783K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,701 |
9,979 |
$710K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20,241 |
14,845 |
$591K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39,599 |
37,815 |
$535K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,679 |
936 |
$522K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,248 |
17,742 |
$451K |
| 87430 |
|
41,392 |
34,567 |
$422K |
| 99050 |
|
14,958 |
14,004 |
$323K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49,789 |
39,916 |
$298K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,403 |
1,779 |
$249K |
| 87276 |
|
25,197 |
19,217 |
$238K |
| 87275 |
|
25,147 |
19,217 |
$228K |
| 99468 |
|
306 |
277 |
$197K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,530 |
1,984 |
$197K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,778 |
554 |
$163K |
| 90474 |
|
9,980 |
9,548 |
$86K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
953 |
869 |
$67K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,098 |
1,002 |
$54K |
| 95117 |
|
5,371 |
2,780 |
$45K |
| 87807 |
|
3,658 |
3,165 |
$40K |
| 99460 |
|
974 |
873 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
808 |
389 |
$39K |
| 85027 |
|
7,438 |
6,389 |
$35K |
| 99188 |
|
1,950 |
1,474 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
274 |
244 |
$24K |
| 99477 |
|
90 |
85 |
$24K |
| 95115 |
|
2,110 |
1,079 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,113 |
3,739 |
$8K |
| 0071A |
|
314 |
136 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
109 |
$7K |
| 0001A |
|
257 |
131 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
43 |
42 |
$6K |
| 0002A |
|
134 |
105 |
$6K |
| 99215 |
Prolong outpt/office vis |
68 |
62 |
$6K |
| 92551 |
|
767 |
700 |
$6K |
| 0072A |
|
136 |
92 |
$5K |
| 90473 |
|
596 |
495 |
$5K |
| 83655 |
|
530 |
508 |
$5K |
| 81002 |
|
2,501 |
2,036 |
$4K |
| 81000 |
|
1,612 |
1,383 |
$3K |
| 99173 |
|
2,790 |
1,775 |
$3K |
| 54150 |
|
28 |
25 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
286 |
244 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
415 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
170 |
155 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
55 |
$1K |
| 96380 |
|
93 |
70 |
$829.67 |
| 86403 |
|
36 |
27 |
$284.20 |
| 82465 |
|
134 |
58 |
$162.62 |
| 87088 |
|
14 |
12 |
$77.40 |
| 96127 |
|
91 |
74 |
$75.12 |
| 91307 |
|
669 |
449 |
$62.08 |
| 94760 |
|
753 |
578 |
$26.85 |
| 90697 |
|
4,580 |
4,396 |
$13.00 |
| 36416 |
|
333 |
283 |
$4.04 |
| 90619 |
|
1,599 |
1,528 |
$0.00 |
| 90744 |
|
3,770 |
3,683 |
$0.00 |
| 90696 |
|
1,064 |
1,019 |
$0.00 |
| 90698 |
|
9,095 |
8,845 |
$0.00 |
| 90677 |
|
2,543 |
2,416 |
$0.00 |
| 90680 |
|
9,537 |
9,201 |
$0.00 |
| 90686 |
|
8,929 |
8,363 |
$0.00 |
| 90381 |
|
36 |
30 |
$0.00 |
| 90620 |
|
130 |
99 |
$0.00 |
| 90651 |
|
2,781 |
2,628 |
$0.00 |
| 90716 |
|
482 |
474 |
$0.00 |
| 90660 |
|
50 |
22 |
$0.00 |
| 90633 |
|
7,895 |
7,497 |
$0.00 |
| 90648 |
|
411 |
398 |
$0.00 |
| 90670 |
|
14,119 |
13,716 |
$0.00 |
| 90710 |
|
3,689 |
3,542 |
$0.00 |
| 90700 |
|
718 |
699 |
$0.00 |
| 90685 |
|
1,145 |
1,118 |
$0.00 |
| 90671 |
|
2,295 |
1,667 |
$0.00 |
| 90707 |
|
525 |
514 |
$0.00 |
| 91300 |
|
706 |
518 |
$0.00 |
| 90734 |
|
1,568 |
1,474 |
$0.00 |
| 90715 |
|
987 |
945 |
$0.00 |
| 90672 |
|
1,012 |
866 |
$0.00 |
| 90661 |
|
655 |
430 |
$0.00 |
| 90621 |
|
669 |
637 |
$0.00 |