| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130,375 |
122,319 |
$9.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,323 |
57,667 |
$6.62M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27,651 |
27,582 |
$2.90M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27,305 |
27,241 |
$2.85M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23,601 |
22,352 |
$2.53M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
35,224 |
34,411 |
$1.86M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17,664 |
17,614 |
$1.82M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69,616 |
69,250 |
$1.59M |
| 90461 |
|
34,416 |
34,293 |
$1.50M |
| 92587 |
|
70,477 |
70,113 |
$1.50M |
| 99177 |
|
52,771 |
52,569 |
$1.46M |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
39,443 |
35,835 |
$1.13M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59,158 |
30,502 |
$1.03M |
| 99173 |
|
31,173 |
31,086 |
$781K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49,679 |
49,440 |
$754K |
| 99188 |
|
29,294 |
29,218 |
$536K |
| 99401 |
|
15,993 |
15,416 |
$402K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,756 |
8,627 |
$358K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,871 |
19,568 |
$332K |
| 90756 |
|
6,347 |
6,326 |
$207K |
| 80061 |
Lipid panel |
11,721 |
11,246 |
$164K |
| S9999 |
Sales tax |
18,645 |
16,664 |
$160K |
| 90672 |
|
6,561 |
6,533 |
$138K |
| 99381 |
|
781 |
774 |
$138K |
| 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) |
8,368 |
7,942 |
$134K |
| 90686 |
|
12,603 |
12,573 |
$92K |
| 83655 |
|
6,511 |
6,476 |
$86K |
| 99080 |
|
6,670 |
6,365 |
$81K |
| 87081 |
|
11,139 |
10,986 |
$77K |
| 90685 |
|
5,178 |
5,146 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,873 |
2,866 |
$62K |
| 99072 |
|
10,652 |
9,546 |
$46K |
| 85018 |
|
14,793 |
14,701 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
7,375 |
7,027 |
$35K |
| 99383 |
|
190 |
189 |
$34K |
| 86756 |
|
2,030 |
1,992 |
$33K |
| 85014 |
|
11,638 |
11,590 |
$29K |
| 99215 |
Prolong outpt/office vis |
207 |
203 |
$28K |
| 98966 |
|
2,213 |
2,178 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
249 |
$25K |
| 99058 |
|
839 |
831 |
$24K |
| 0001A |
|
575 |
572 |
$23K |
| 0002A |
|
480 |
480 |
$20K |
| 0071A |
|
490 |
489 |
$19K |
| 87430 |
|
1,227 |
1,204 |
$19K |
| 90473 |
|
689 |
688 |
$13K |
| 0072A |
|
261 |
260 |
$10K |
| 69210 |
|
198 |
197 |
$10K |
| 99441 |
|
166 |
165 |
$10K |
| 99382 |
|
49 |
49 |
$9K |
| 99050 |
|
343 |
337 |
$9K |
| 87428 |
|
163 |
160 |
$7K |
| 94010 |
|
239 |
236 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
646 |
615 |
$5K |
| 90480 |
|
137 |
136 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
522 |
515 |
$5K |
| 90680 |
|
8,400 |
8,371 |
$5K |
| 36416 |
|
13,620 |
13,258 |
$4K |
| 99384 |
|
25 |
25 |
$4K |
| 94664 |
|
262 |
257 |
$4K |
| 99001 |
|
15,710 |
15,296 |
$4K |
| 99051 |
|
948 |
945 |
$3K |
| 96160 |
|
723 |
695 |
$3K |
| 0003A |
|
68 |
68 |
$3K |
| 95930 |
|
25 |
24 |
$2K |
| 90649 |
|
4,175 |
4,166 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 0124A |
|
40 |
40 |
$2K |
| 0081A |
|
35 |
35 |
$1K |
| 96380 |
|
60 |
60 |
$1K |
| 99000 |
|
1,215 |
1,146 |
$1K |
| D1206 |
Topical application of fluoride varnish |
436 |
431 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$981.93 |
| 92567 |
|
72 |
71 |
$973.96 |
| 81000 |
|
233 |
222 |
$892.49 |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
33 |
$873.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
37 |
$830.70 |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
63 |
61 |
$828.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
136 |
$762.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
77 |
72 |
$756.25 |
| 94060 |
|
15 |
15 |
$721.83 |
| 91307 |
|
1,070 |
1,042 |
$720.00 |
| 90633 |
|
4,754 |
4,741 |
$714.41 |
| 81003 |
|
544 |
513 |
$696.59 |
| 91300 |
|
1,494 |
1,436 |
$400.00 |
| 90671 |
|
1,370 |
1,351 |
$356.79 |
| 88720 |
|
54 |
47 |
$341.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$243.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
27 |
$212.97 |
| S9470 |
Nutritional counseling, dietitian visit |
2,488 |
2,467 |
$180.00 |
| 90710 |
|
3,608 |
3,602 |
$175.52 |
| 90734 |
|
1,843 |
1,839 |
$102.08 |
| 85027 |
|
15 |
13 |
$93.86 |
| 90647 |
|
11,063 |
11,034 |
$49.24 |
| 90670 |
|
11,251 |
11,223 |
$19.03 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
104 |
99 |
$17.82 |
| 90723 |
|
6,907 |
6,893 |
$11.29 |
| 90715 |
|
633 |
630 |
$0.76 |
| 90696 |
|
406 |
405 |
$0.21 |
| 90700 |
|
240 |
238 |
$0.06 |
| 90707 |
|
63 |
63 |
$0.00 |
| 91308 |
|
73 |
71 |
$0.00 |
| 91312 |
|
25 |
25 |
$0.00 |
| 90697 |
|
2,759 |
2,737 |
$0.00 |
| 90677 |
|
2,389 |
2,381 |
$0.00 |
| 90619 |
|
1,114 |
1,109 |
$0.00 |
| 91305 |
|
98 |
97 |
$0.00 |
| 90620 |
|
219 |
219 |
$0.00 |
| 90716 |
|
61 |
61 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |