| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,150 |
13,183 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,530 |
14,372 |
$585K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,284 |
3,721 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,601 |
3,254 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,653 |
2,386 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,577 |
2,912 |
$181K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,619 |
1,483 |
$58K |
| 90686 |
|
3,761 |
3,273 |
$53K |
| 99051 |
|
4,309 |
3,752 |
$41K |
| 92551 |
|
3,653 |
3,319 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,455 |
2,019 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
942 |
455 |
$25K |
| 90670 |
|
2,220 |
1,899 |
$24K |
| 90698 |
|
1,818 |
1,542 |
$18K |
| 90680 |
|
1,439 |
1,220 |
$16K |
| 90651 |
|
1,057 |
948 |
$14K |
| 90633 |
|
1,208 |
987 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,059 |
924 |
$10K |
| 96127 |
|
2,776 |
2,523 |
$10K |
| 90744 |
|
803 |
677 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
77 |
$7K |
| 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) |
700 |
578 |
$7K |
| 99173 |
|
3,565 |
3,226 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
47 |
45 |
$6K |
| 90734 |
|
513 |
466 |
$6K |
| 90697 |
|
380 |
329 |
$6K |
| 90619 |
|
315 |
278 |
$5K |
| 90672 |
|
203 |
182 |
$4K |
| 90715 |
|
330 |
305 |
$4K |
| 90621 |
|
232 |
201 |
$3K |
| 0001A |
|
71 |
70 |
$3K |
| 0071A |
|
96 |
93 |
$3K |
| 90677 |
|
125 |
117 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 90656 |
|
113 |
111 |
$2K |
| 0002A |
|
58 |
58 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
310 |
252 |
$2K |
| 90671 |
|
183 |
124 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
76 |
$2K |
| 90710 |
|
129 |
106 |
$2K |
| 0072A |
|
62 |
62 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
69 |
59 |
$1K |
| 90696 |
|
106 |
92 |
$1K |
| 90716 |
|
162 |
134 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
143 |
137 |
$1K |
| 99499 |
|
113 |
92 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,081 |
954 |
$965.62 |
| 90707 |
|
104 |
73 |
$711.09 |
| 81003 |
|
1,298 |
1,139 |
$516.83 |
| 0004A |
|
14 |
14 |
$400.00 |
| 83655 |
|
12 |
12 |
$107.12 |
| 90685 |
|
368 |
282 |
$66.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$33.33 |
| 81025 |
|
12 |
12 |
$28.28 |
| 97802 |
|
23 |
15 |
$18.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
26 |
$17.40 |
| 99174 |
|
37 |
18 |
$6.14 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
75 |
71 |
$2.40 |
| 91307 |
|
183 |
169 |
$0.51 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
26 |
26 |
$0.02 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
25 |
25 |
$0.02 |
| 3008F |
|
2,906 |
2,478 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
48 |
$0.00 |
| 3074F |
|
16 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,483 |
9,825 |
$0.00 |
| 90461 |
|
104 |
54 |
$0.00 |
| 91300 |
|
202 |
179 |
$0.00 |
| 96160 |
|
53 |
37 |
$0.00 |
| 3078F |
|
16 |
12 |
$0.00 |