| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,890 |
21,025 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,197 |
12,330 |
$866K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,428 |
1,092 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,071 |
1,064 |
$70K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,971 |
1,867 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
632 |
629 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
893 |
842 |
$60K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,169 |
2,149 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
947 |
924 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
756 |
752 |
$53K |
| 99335 |
|
998 |
776 |
$48K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
933 |
753 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,125 |
4,016 |
$42K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
605 |
596 |
$33K |
| 99215 |
Prolong outpt/office vis |
444 |
423 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,001 |
856 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
14,102 |
12,374 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,775 |
4,386 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
308 |
250 |
$26K |
| 99442 |
|
447 |
404 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
303 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,483 |
3,179 |
$23K |
| 80061 |
Lipid panel |
1,959 |
1,922 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
733 |
712 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
267 |
265 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
480 |
476 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
276 |
263 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
639 |
594 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
590 |
545 |
$16K |
| 99336 |
|
179 |
146 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,748 |
1,659 |
$15K |
| 90686 |
|
1,914 |
1,883 |
$14K |
| 99443 |
|
148 |
137 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,876 |
1,854 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,549 |
1,347 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,121 |
1,018 |
$11K |
| X5622 |
|
1,241 |
1,212 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
234 |
81 |
$10K |
| 92551 |
|
1,321 |
1,319 |
$9K |
| 0001A |
|
331 |
327 |
$8K |
| 0002A |
|
279 |
277 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
39 |
$6K |
| 85027 |
|
1,154 |
1,066 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
141 |
$6K |
| 99441 |
|
191 |
178 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
308 |
303 |
$5K |
| 90670 |
|
594 |
592 |
$5K |
| 81001 |
|
1,685 |
1,554 |
$4K |
| 99188 |
|
455 |
453 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
72 |
57 |
$4K |
| 99205 |
Prolong outpt/office vis |
111 |
105 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
24 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
58 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
41 |
39 |
$3K |
| 90715 |
|
214 |
213 |
$3K |
| 0004A |
|
97 |
97 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
211 |
203 |
$2K |
| 0240U |
|
15 |
15 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$2K |
| 81003 |
|
1,105 |
890 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 99173 |
|
1,252 |
1,249 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
26 |
24 |
$2K |
| 90651 |
|
139 |
139 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
48 |
25 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 85610 |
|
637 |
360 |
$1K |
| 87210 |
|
277 |
262 |
$993.00 |
| 0054A |
|
31 |
31 |
$964.62 |
| 73630 |
|
59 |
54 |
$912.66 |
| 81025 |
|
142 |
136 |
$894.94 |
| 90662 |
|
39 |
38 |
$864.51 |
| 92567 |
|
129 |
123 |
$686.84 |
| 0072A |
|
16 |
16 |
$630.88 |
| 85018 |
|
254 |
242 |
$602.84 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
41 |
$581.08 |
| 0071A |
|
13 |
13 |
$560.92 |
| 97803 |
|
12 |
12 |
$458.15 |
| 92557 |
|
31 |
30 |
$334.82 |
| 80076 |
|
67 |
62 |
$307.34 |
| 36416 |
|
503 |
322 |
$247.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
176 |
155 |
$160.56 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
93 |
90 |
$154.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
48 |
$104.65 |
| 0031A |
|
19 |
19 |
$63.25 |
| G0008 |
Administration of influenza virus vaccine |
153 |
153 |
$52.73 |
| 90698 |
|
444 |
444 |
$0.00 |
| 91305 |
|
33 |
30 |
$0.00 |
| 80050 |
General health panel |
29 |
28 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90680 |
|
102 |
102 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
153 |
148 |
$0.00 |
| 91307 |
|
62 |
48 |
$0.00 |
| 90688 |
|
50 |
50 |
$0.00 |
| 90633 |
|
333 |
332 |
$0.00 |
| 90734 |
|
73 |
73 |
$0.00 |
| 90685 |
|
73 |
72 |
$0.00 |
| 91300 |
|
648 |
575 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 98968 |
|
28 |
23 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |